Organization · Type 2 NPI

Native American Rehabilitation Assoc Inc

Federally Qualified Health Center (FQHC) · Portland, OR

NPI number 1053691972 Active

Practice location

12360 E Burnside St
Portland, OR 97233-1042

Fax (971) 279-2051

Mailing address

PO Box 1569, Attention Credentialing
Portland, OR 97207-1569

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

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About NPI 1053691972

Native American Rehabilitation Assoc Inc's National Provider Identifier is 1053691972, issued on Aug 23, 2011. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Portland, OR. The record was last updated on Jul 22, 2026.