Organization · Type 2 NPI
City of Portland
State or Local Public Health Clinic/Center · Portland, ME
NPI number
1689799504
Active
Practice location
39 Forest Ave
Portland, ME 04101-2912
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | H80CS00005-04-00 (ME) |
| State or Local Public Health Clinic/Center Primary | 261QP0905X | None listed |
State or Local Public Health Clinic/Center: Definition to come...
2 other providers at this address
Other state or local public health clinic/center providers in Portland
About NPI 1689799504
City of Portland's National Provider Identifier is 1689799504, issued on Mar 20, 2007. The primary taxonomy on file is State or Local Public Health Clinic/Center (261QP0905X), and the practice location is in Portland, ME. The record was last updated on Jul 11, 2024.