CENTRAL CITY CONCERN (NPI# 1033518188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033518188 |
| Entity Type | Organization |
| Organization Name | CENTRAL CITY CONCERN |
| Practice Address |
727 W Burnside St Portland OR 97209-3514 |
| Mailing Address |
232 Nw 6th Ave Portland OR 97209-3609 |
| Practice Telephone | 5032284533 |
| Mailing Telephone | 5032941681 |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2014-08-25 |
| Authorized Official Name | PETRUS OLIPHANT (PHARMACIST) |
| Authorized Official Telephone | 5039263315 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740664960 | Central City Concern | Clinic/Center | 6847 N Interstate Ave, Portland, OR 97217-5400 | 2015-07-17 |
| 1356724322 | Central City Concern | Clinic/Center | 8066 Se Taggart St, Portland, OR 97206-1076 | 2015-07-08 |
| 1902289978 | Central City Concern | Clinic/Center | 5724 Ne Prescott St, Portland, OR 97218-2230 | 2015-07-08 |
| 1205219276 | Central City Concern | Clinic/Center | 5224 N Vancouver Ave, Portland, OR 97217-2768 | 2015-07-08 |
| 1437624046 | Central City Concern | Pharmacy | 12121 E Burnside St, Portland, OR 97216-3737 | 2018-10-10 |
| 1881078095 | Central City Concern | Clinic/Center | 18088 Se Market St, Portland, OR 97233-5055 | 2015-07-17 |
| 1639420532 | Central City Concern | Clinic/Center | 1949 Se 122nd Ave, Portland, OR 97233-1303 | 2012-10-02 |
| 1679832315 | Central City Concern | Clinic/Center | 2545 Ne Flanders St, Portland, OR 97232-3139 | 2012-05-15 |
| 1427324466 | Central City Concern | Clinic/Center | 726 W Burnside St, Portland, OR 97209-3515 | 2012-03-23 |
| 1609084904 | Central City Concern | Clinic/Center | 1535 N Williams Ave, Portland, OR 97227-1885 | 2007-05-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | CENTRAL CITY CONCERN | 232 Nw 6th Ave, Portland, OR 97209 |
| Oregon Corporations, Companies and Business Names | CENTRAL CITY CONCERN BENEFIT AND ENTITLEMENT SPECIALIST TEAM | 33 Nw Broadway, Portland, OR 97209 |
| Oregon Corporations, Companies and Business Names | CENTRAL CITY CONCERN BEST | 33 Nw Broadway, Portland, OR 97209 |
| Oregon Corporations, Companies and Business Names | CENTRAL CITY CONCERN CLEAN START | 232 Nw 6th Ave, Portland, OR 97209 |
| Oregon Corporations, Companies and Business Names | CENTRAL CITY CONCERN DEVELOPMENT | 232 Nw 6th Ave, Portland, OR 97209 |
| Oregon Corporations, Companies and Business Names | CENTRAL CITY CONCERN FOUNDATION | 232 Nw Sixth Ave, Portland, OR 97209 |
| Oregon Corporations, Companies and Business Names | CENTRAL CITY CONCERN PHARMACY | 727 W Burnside St, Portland, OR 97209 |
| Oregon Corporations, Companies and Business Names | CENTRAL CITY CONCERN RECOVERY CENTER | 726 W Burnside St, Portland, OR 97209 |
| Street Address |
727 W BURNSIDE ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97209-3514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568410538 | David Nigel Adler IIi | Acupuncturist | 727 W Burnside St, Portland, OR 97209-3514 | 2006-05-04 |
| 1053973107 | Barbara Jean Cordova Ayala | Licensed Practical Nurse | 727 W Burnside St, Portland, OR 97209-3514 | 2019-06-28 |
| 1386200186 | Ronnie Lee Pickering | Student in an Organized Health Care Education/Training Program | 727 W Burnside St, Portland, OR 97209-3514 | 2019-05-16 |
| 1790254944 | Carissa Angela Marston | Physician Assistant | 727 W Burnside St, Portland, OR 97209-3514 | 2018-11-16 |
| 1518447119 | Amanda Nicole Cantu | Licensed Practical Nurse | 727 W Burnside St, Portland, OR 97209-3514 | 2018-08-14 |
| 1194204552 | Livian Marie Rand | Acupuncturist | 727 W Burnside St, Portland, OR 97209-3514 | 2018-08-07 |
| 1508366733 | Jason Sheffey | Peer Specialist | 727 W Burnside St, Portland, OR 97209-3514 | 2018-02-14 |
| 1528566445 | Mathew Reichardt | Counselor | 727 W Burnside St, Portland, OR 97209-3514 | 2018-01-25 |
| 1639681638 | Julie Cha Beert | Pharmacist | 727 W Burnside St, Portland, OR 97209-3514 | 2017-10-30 |
| 1821500117 | Kimberly Marie Hutchinson | Registered Nurse | 727 W Burnside St, Portland, OR 97209-3514 | 2017-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508476250 | Harrington Health Clinic | Nurse Practitioner | 310 Nw Glisan Street, Portland, OR 97209 | 2020-08-07 |
| 1619599636 | Rivers Way Training Clinic | Community/Behavioral Health | 2049 Nw Hoyt, Portland, OR 97209 | 2020-05-13 |
| 1518590538 | Julie Kay Igarta | Registered Nurse | 140 Northwest 14th Avenue, Portland, OR 97209 | 2020-02-18 |
| 1407492002 | Oregon Injection Clinic | Clinic/Center | 1500 Nw Lovejoy, 106, Portland, OR 97209 | 2019-11-19 |
| 1487202883 | Ann Tesora | Massage Therapist | 1320 Northwest 20th Avenue, Portland, OR 97209 | 2019-08-28 |
| 1972160455 | Vincent Martin | Massage Therapist | 210 Sw 17th Avenue, Portland, OR 97209 | 2019-05-21 |
| 1154896546 | Jennifer Marie Dodd | Social Worker | 1722 Nw Raleigh St Spc 412, Portland, OR 97209 | 2018-10-11 |
| 1922551910 | Ashley Crowell | Physician Assistant | 949 Nw Overton St Unit 306, Portland, OR 97209 | 2016-07-26 |
| 1326408394 | Jennifer Blain | Counselor | 324 Nw Davis, Portland, OR 97209 | 2016-03-03 |
| 1275993255 | Lauren Dodson | Licensed Practical Nurse | 324 Nw Davis St, Portland, OR 97209 | 2016-03-03 |
| Find all providers in zip 97209 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293215 | Oregon Change Clinic | Clinic/Center | 650 Ne Holladay Street, Suite 1600, Portland, OR 97232 | 2020-10-17 |
| 1811339666 | Oregon Health & Science University | Clinic/Center | 2952 Ne 34th Ave, Portland, OR 97212-2705 | 2013-07-22 |
| 1639534969 | Multnomah County | Clinic/Center | 619 Nw 6th Ave, Portland, OR 97209-3964 | 2015-12-31 |
| 1184918955 | Prov Health Sys-or Shared-svs Div | Clinic/Center | 9340 Sw Barnes Rd, Suite 200, Portland, OR 97225-6623 | 2011-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346850500 | Opportunity Connections, Inc. | Clinic/Center | 1102 12th St, Hood River, OR 97031-1602 | 2020-08-03 |
| 1750827184 | Elizabeth Villagrana | Clinic/Center | 32753 E Delaney St, Coburg, OR 97408-9265 | 2017-01-09 |
| 1316268220 | Ruthie Faye Berrell | Clinic/Center | 1640 G Street, Springfield, OR 97477 | 2010-06-15 |
| 1588981096 | Joan Jackson Cavan | Clinic/Center | 86595 N Modesto Dr, Eugene, OR 97402-9045 | 2010-04-23 |
| 1639316193 | La Pine Community Health Center | Clinic/Center | 51600 Huntington Road, Suite C, La Pine, OR 97739-0001 | 2009-01-20 |
| 1376546291 | Willamette Family, Inc | Clinic/Center | 687 Cheshire Ave, Eugene, OR 97402-5060 | 2005-05-24 |
| 1124534185 | Columbiacare Services Inc | Clinic/Center | 2345 Marion St, North Bend, OR 97459-2637 | 2017-12-28 |
| 1457897548 | Lukedorf | Clinic/Center | 8915 Sw Center St, Tigard, OR 97223-6307 | 2017-01-12 |
| 1427594977 | Coast Community Health Clinic | Clinic/Center | 1010 1st St Se, Bandon, OR 97411-9301 | 2017-01-09 |
| 1245608819 | Annette Louise Koski | Clinic/Center | 65 Se Goodfellow St, Ontario, OR 97914-3016 | 2015-09-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.