Evergreen Crossing Clinic

LBN: Central City Concern, Inc
Evergreen Crossing Clinic is an health care organization with primary practice located at 8225 Ne Wasco St Ste 300 , Portland OR 97220-5784. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Central City Concern, Inc can be contacted via phone (971) 361-7711, or through Mendenhall, Andrew B via phone (413) 584-2173.

Contact Information

Primary practice address
8225 Ne Wasco St Ste 300 Portland OR 97220-5784
Phone: (971) 361-7711
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mendenhall, Andrew B
Phone: (413) 584-2173

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1730860107
LBN Legal business name Central City Concern, Inc
DBA Doing business as Evergreen Crossing Clinic
Authorized official Mendenhall, Andrew B
Entity Organization
Organization subpart 1 No
Enumeration date Jul 28th, 2023
Last updated Oct 4th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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