CENTRAL CITY CONCERN INC (NPI# 1497044382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497044382 |
| Entity Type | Organization |
| Organization Name | CENTRAL CITY CONCERN INC |
| Practice Address |
33 Nw Broadway Portland OR 97209-3580 |
| Mailing Address |
232 Nw 6th Ave Portland OR 97209-3609 |
| Practice Telephone | 5032287134 |
| Practice Fax Number | 5035015679 |
| Mailing Telephone | 5032941681 |
| Mailing Fax Number | 5032944321 |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2017-10-26 |
| Authorized Official Name | DR. RACHEL SOLOTAROFF (PRESIDENT & CEO) |
| Authorized Official Telephone | 5032941681 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427563733 | Central City Concern Inc | Clinic/Center | 1415 Se 122nd Ave, Portland, OR 97233 | 2017-12-08 |
| 1144691098 | Central City Concern Inc | Clinic/Center | 2566 Ne Hoyt St, Portland, OR 97232-2323 | 2015-10-16 |
| 1295119386 | Central City Concern Inc | Clinic/Center | 12133 E. Burnside St, Portland, OR 97216-2344 | 2015-07-17 |
| 1437530888 | Central City Concern Inc | Clinic/Center | 665 Nw Hoyt St, Portland, OR 97209-3769 | 2015-06-11 |
| 1881658276 | Central City Concern Inc | Clinic/Center | 232 Nw 6th Ave, Portland, OR 97209-3609 | 2006-04-13 |
| 1558896266 | Central City Concern Inc | Clinic/Center | 232 Nw 6th Ave, Portland, OR 97209-3609 | 2017-05-01 |
| 1679029557 | Central City Concern Inc | Clinic/Center | 727 W Burnside St, Portland, OR 97209-3514 | 2016-08-30 |
| 1578926531 | Central City Concern Inc | Clinic/Center | 1535 N Williams Ave, Portland, OR 97227-1885 | 2016-03-29 |
| 1992179097 | Central City Concern Inc | Clinic/Center | 333 Se 223rd Ave, Gresham, OR 97030-7454 | 2015-11-30 |
| 1831575679 | Central City Concern Inc | Clinic/Center | 709 Nw Everett St, Portland, OR 97209-3517 | 2015-08-04 |
| Street Address |
33 NW BROADWAY |
| City | PORTLAND |
| State | OR |
| Zip Code | 97209-3580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003981085 | Jeffrey M Moore | Counselor | 33 Nw Broadway, Portland, OR 97209-3580 | 2006-11-22 |
| 1811597685 | Victoria Leigh Burgess | Counselor | 33 Nw Broadway, Portland, OR 97209-3580 | 2020-10-29 |
| 1750995056 | Sarina Kate Herrick Benight | Counselor | 33 Nw Broadway, Portland, OR 97209-3580 | 2020-09-03 |
| 1386254043 | Kristen Marie Case | Counselor | 33 Nw Broadway, Portland, OR 97209-3580 | 2020-08-06 |
| 1558999664 | Jack Ezra Keegan | Registered Nurse | 33 Nw Broadway, Portland, OR 97209-3580 | 2020-04-01 |
| 1740817402 | Malinda Christine Brown | Counselor | 33 Nw Broadway, Portland, OR 97209-3580 | 2020-03-24 |
| 1609419357 | Heather Ann Ackles | Counselor | 33 Nw Broadway, Portland, OR 97209-3580 | 2019-10-25 |
| 1225687932 | Mahnaz Alidoosti Dadras | Registered Nurse | 33 Nw Broadway, Portland, OR 97209-3580 | 2019-09-05 |
| 1417505470 | Roy Mcgarvey Wheeler | Counselor | 33 Nw Broadway, Portland, OR 97209-3580 | 2019-09-03 |
| 1982250437 | Lisa Marie Newport | Peer Specialist | 33 Nw Broadway, Portland, OR 97209-3580 | 2019-08-12 |
| 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 | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679047872 | Portland Community Health Center | Clinic/Center | 52 Frederic St, Portland, ME 04102-2700 | 2019-01-22 |
| 1043783822 | Portland Community Health Center | Clinic/Center | 72 Bishop St, Portland, ME 04102-2957 | 2019-01-04 |
| 1770056558 | Portland Community Health Center | Clinic/Center | 190 Valley Street, Portland, ME 04102-2957 | 2019-01-04 |
| 1427563733 | Central City Concern Inc | Clinic/Center | 1415 Se 122nd Ave, Portland, OR 97233 | 2017-12-08 |
| 1700317971 | Portland Community Health Center | Clinic/Center | 28 Portland St, Portland, ME 04101-2912 | 2017-03-21 |
| 1255872537 | Portland Community Health Center | Clinic/Center | 175 Auburn St, Portland, ME 04103-2131 | 2017-03-20 |
| 1477005619 | Outside In | Clinic/Center | 1226 Sw 12th Ave, Portland, OR 97205-2029 | 2016-11-03 |
| 1649636986 | Mainline Health Systems, Inc | Clinic/Center | 314 Highway 160 E, Portland, AR 71663-9262 | 2015-12-31 |
| 1144691098 | Central City Concern Inc | Clinic/Center | 2566 Ne Hoyt St, Portland, OR 97232-2323 | 2015-10-16 |
| 1295119386 | Central City Concern Inc | Clinic/Center | 12133 E. Burnside St, Portland, OR 97216-2344 | 2015-07-17 |
| Find all providers in PORTLAND | ||||
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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.