Central City Concern
Pharmacy, Clinic Pharmacy in Portland, OR. Organization (NPI-2).
NPI number1114230331
StatusActive
Last updated in NPPESApr 9, 2026
Details
- NPI
- 1114230331
- Entity type
- Organization (NPI-2)
- Legal business name
- Central City Concern
- Organization subpart
- No
- Enumeration date
- Jul 16, 2010
- Certification date
- Apr 9, 2026
- Last updated
- Apr 9, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0002X | Pharmacy, Clinic Pharmacy | RP0002607-CS | OR | Yes |
Other names
- Old Town Clinic Pharmacy (Doing Business As)
Practice location
727 W Burnside StPortland, OR 97209-3514
Phone 503-944-4465 · Fax 971-271-6124
Mailing address
121 Nw Everett StPortland, OR 97209-4049
Phone 503-294-1681
Authorized official
Andrew B Mendenhall
President & Ceo
5032941681
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All 15 Clinic Pharmacy providers in Portland · All 48,847 providers in Portland
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