Organization · Type 2 NPI
Portland Community Health Center
Federally Qualified Health Center (FQHC) · Portland, ME
NPI number
1770056558
Active
Practice location
190 Valley Street
Portland, ME 04102-2957
Fax (207) 874-2164
Mailing address
180 Park Avenue
Portland, ME 04102
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...
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About NPI 1770056558
Portland Community Health Center's National Provider Identifier is 1770056558, issued on Jan 4, 2019. 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.