Active NPI
Warriors Clinic LLC
- Community Health Clinic/Center
- Portland, OR
National Provider Identifier
1093572158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Clinic/Center
- Legal business name
- WARRIORS CLINIC LLC
- Practice address
- 3750 S River Pkwy Apt 325
Portland, OR 97239-4746 - Phone
- (602) 244-1358
- NPI assigned
- Mar 4, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mohamed Ahmed
- Title
- Ceo
- Phone
- (602) 244-1358
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Clinic/Center | 261QC1500X | Primary |
Addresses
Primary practice location
3750 S River Pkwy Apt 325
Portland, OR 97239-4746
Mailing address
3750 S River Pkwy Apt 325
Portland, OR 97239-4746
Phone (602) 244-1358
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709510400000",
"number": "1093572158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3750 S RIVER PKWY APT 325",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972394746",
"telephone_number": "602-244-1358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3750 S RIVER PKWY APT 325",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972394746",
"telephone_number": "602-244-1358"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WARRIORS CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-04",
"last_updated": "2024-03-04",
"certification_date": "2024-03-04",
"status": "A",
"authorized_official_last_name": "AHMED",
"authorized_official_first_name": "MOHAMED",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "602-244-1358"
},
"taxonomies": [
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.