Organization · Type 2 NPI

Native American Rehabilitation Assoc Inc

Federally Qualified Health Center (FQHC) · Portland, OR

NPI number 1174979934 Active

Practice location

12750 SE Stark St Bldg E
Portland, OR 97233-1539

Call (971) 347-3009 Map

Fax (971) 256-3277

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Dental Clinic/Center	261QD0000X	None listed
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

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

36 other providers at this address

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NPI record

NPI: 1174979934
Entity type: Organization (Type 2)
Issued: May 11, 2016
Last updated: Jul 22, 2026
Status: Active

Other names

<unavail>
Nara NW · doing business as
Nara NW · doing business as
Nara Nw-Dental Clinic · doing business as
Native American Rehabilitation Association of the Northwest, Inc. · other name

Authorized official

Ray Dunn
Payroll & Workforce Comp. Director
(971) 288-9121

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1174979934

Native American Rehabilitation Assoc Inc's National Provider Identifier is 1174979934, issued on May 11, 2016. 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.