Organization · Type 2 NPI
Portland Community Health Center
Federally Qualified Health Center (FQHC) · Portland, ME
NPI number
1235670522
Active
Practice location
522 Stevens Ave
Portland, ME 04103-2611
Mailing address
180 Park Ave
Portland, ME 04102-2957
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | None listed |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
Another provider at this address
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About NPI 1235670522
Portland Community Health Center's National Provider Identifier is 1235670522, issued on Mar 20, 2017. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Portland, ME. The record was last updated on Jun 9, 2023.