Native American Rehabilitation Assoc INC
Clinic/Center, Federally Qualified Health Center (FQHC) in Portland, OR. Organization (NPI-2).
NPI number1619106945
StatusActive
Last updated in NPPESJul 22, 2026
Details
- NPI
- 1619106945
- Entity type
- Organization (NPI-2)
- Legal business name
- Native American Rehabilitation Assoc INC
- Organization subpart
- No
- Enumeration date
- Jul 8, 2009
- Certification date
- Jul 22, 2026
- Last updated
- Jul 22, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
Other names
- Nara Nw - Bear Lodge (Doing Business As)
- Native American Rehabilitation Association Of The Northwest, INC. (Other Name)
Practice location
3636 Ne Broadway StPortland, OR 97232-1823
Phone 503-548-0346 · Fax 503-232-5959
Mailing address
Po Box 1569Attention Credentialing
Portland, OR 97207-1569
Phone 503-224-1044 · Fax 971-260-0355
Authorized official
Ray Dunn
Payroll & Workforce Comp. Director
9712889121
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