NPIMap

Organization Active NPI

Neighborhood Health Center

  • Federally Qualified Health Center (FQHC)
  • Portland, OR
National Provider Identifier
1174820815
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
NEIGHBORHOOD HEALTH CENTER
Practice address
7320 SW Hunziker Rd Ste 300
Portland, OR 97223-2302
Phone
(503) 941-3033
Fax
(503) 384-2588
NPI assigned
Feb 15, 2011
Last updated
May 24, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
NEIGHBORHOOD HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 24, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Blain West, CPA
Title
Cfo
Phone
(503) 941-3033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

7320 SW Hunziker Rd Ste 300
Portland, OR 97223-2302

Mailing address

7320 SW Hunziker Rd Ste 300
Portland, OR 97223-2302
Phone (503) 941-3033

Other practice location 1

178 SW 2nd Ave
Canby, OR 97013-4152
Phone (503) 416-4547

Other practice location 2

10330 SE 32nd Ave Ste 325
Milwaukie, OR 97222-6656
Phone (503) 416-1960

Other practice location 3

728 Molalla Ave
Oregon City, OR 97045-2799
Phone (503) 656-9030

Other practice location 4

17200 NW Corridor Ct Ste 110
Beaverton, OR 97006-3295
Phone (503) 213-3800

Other practice location 5

3300 SE Dwyer Dr Ste 302
Milwaukie, OR 97222-6548
Phone (503) 850-4479

Other practice location 6

19029 S Beavercreek Rd
Oregon City, OR 97045
Phone (503) 941-3064

Other practice location 7

1841 SW Merlo Dr
Beaverton, OR 97003-5013
Phone (503) 941-3210

Other practice location 8

22300 SW Boones Ferry Rd
Tualatin, OR 97062-7373
Phone (503) 941-3180

Other practice location 9

266 W Main St
Hillsboro, OR 97123-3961
Phone (503) 941-3016

Other practice location 10

10690 NE Cornell Rd Ste 220
Hillsboro, OR 97124-9224
Phone (503) 848-5861

Other identifiers 1

IdentifierTypeStateIssuer
500670049MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110802000211 OR Part B Supplier - Clinic/Group Practice 8426227893 Receives reassigned benefits from 37 practitioners
7 other NPIs on this enrollment
Practice locations: Oregon City, OR; Portland, OR; Milwaukie, OR; Hillsboro, OR; Canby, OR
O20140728001794 OR Part A Provider - Federally Qualified Health Center (FQHC) 8426227893 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hillsboro, OR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1174820815. Details of each certification follow.

Federally qualified health center certification: CCN 381949

Legal name
NEIGHBORHOOD HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 28, 2014
Last certification
Jul 28, 2014
Ownership / control type
Non-profit – corporation
Organization structure
OtherNon-profit
Incorporated
Oct 1, 2010 in OR
Enrollment address
10690 NE Cornell Rd
Ste 220
Hillsboro, OR 97124-9224

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D2220507Neighborhood Health Center7320 SW Hunziker Rd, Ste 300, Portland, OR 97223Certificate of waiverApr 12, 2027

National Provider Directory

National Provider Directory
Part of
Neighborhood Health Center

Locations

266 W Main St
Hillsboro, OR 97123
Phone (503) 846-3360

3300 SE Dwyer Dr
Ste 302
Milwaukie, OR 97222
Phone (503) 850-4479

22300 SW Boones Ferry Rd
Tualatin, OR 97062
Phone (503) 431-5975

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Rudy Mazza Individual Corporate DirectorBoard Member Feb 1, 2019
Ashley Morales Individual Corporate DirectorBoard Member Jul 1, 2023
Steven Kinder Individual Corporate DirectorBoard Member Jun 1, 2018
Jeri Weeks Individual Corporate OfficerCeo Oct 1, 2012
W-2 Managing EmployeeCeo Oct 1, 2012 100%
Operational/Managerial ControlCeo Oct 1, 2012 100%
Mary a Fitzpatrick Individual Corporate DirectorBoard Member Nov 5, 2024
Wayne Schmidt Individual Corporate DirectorBoard Member Sep 1, 2015
Blain West Individual Corporate OfficerCfo/Coo Jun 1, 2011
W-2 Managing EmployeeCfo/Coo Jun 1, 2011
Operational/Managerial ControlCfo/Coo Jun 1, 2011
Brett Hamilton Individual Corporate DirectorBoard Member Feb 1, 2024
Brittany Marks Individual Corporate DirectorBoard Member Nov 1, 2013
Donnamarie Intericola Individual Corporate DirectorBoard Member Apr 2, 2024
Donalda Dodson Individual Corporate DirectorBoard Member Oct 1, 2010
Neighborhood Health Center Organization, Portland, OR Corporation, Medical provider/supplier, Non-profit, Chain home office Other Feb 10, 2014 100%

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Neighborhood Health CenterHillsboro, OR, CCN 381949 Federally qualified health center Other (100%) Feb 10, 2014

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 72

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 72

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1297728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653350400000",
    "number": "1174820815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7320 SW HUNZIKER RD STE 300",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972232302",
            "telephone_number": "503-941-3033",
            "fax_number": "503-747-7013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7320 SW HUNZIKER RD STE 300",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972232302",
            "telephone_number": "503-941-3033",
            "fax_number": "503-384-2588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "178 SW 2nd Ave",
            "address_purpose": "LOCATION",
            "city": "Canby",
            "state": "OR",
            "postal_code": "970134152",
            "country_code": "US",
            "telephone_number": "503-416-4547",
            "fax_number": "503-416-4553",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10330 SE 32nd Ave Ste 325",
            "address_purpose": "LOCATION",
            "city": "Milwaukie",
            "state": "OR",
            "postal_code": "972226656",
            "country_code": "US",
            "telephone_number": "503-416-1960",
            "fax_number": "503-416-1959",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "728 Molalla Ave",
            "address_purpose": "LOCATION",
            "city": "Oregon City",
            "state": "OR",
            "postal_code": "970452799",
            "country_code": "US",
            "telephone_number": "503-656-9030",
            "fax_number": "503-656-9026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17200 NW Corridor Ct Ste 110",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970063295",
            "country_code": "US",
            "telephone_number": "503-213-3800",
            "fax_number": "503-747-5345",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3300 SE Dwyer Dr Ste 302",
            "address_purpose": "LOCATION",
            "city": "Milwaukie",
            "state": "OR",
            "postal_code": "972226548",
            "country_code": "US",
            "telephone_number": "503-850-4479",
            "fax_number": "503-850-4481",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19029 S Beavercreek Rd",
            "address_purpose": "LOCATION",
            "city": "Oregon City",
            "state": "OR",
            "postal_code": "97045",
            "country_code": "US",
            "telephone_number": "503-941-3064",
            "fax_number": "503-941-3075",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1841 SW Merlo Dr",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970035013",
            "country_code": "US",
            "telephone_number": "503-941-3210",
            "fax_number": "503-592-1001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22300 SW Boones Ferry Rd",
            "address_purpose": "LOCATION",
            "city": "Tualatin",
            "state": "OR",
            "postal_code": "970627373",
            "country_code": "US",
            "telephone_number": "503-941-3180",
            "fax_number": "503-563-6969",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "266 W Main St",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OR",
            "postal_code": "971233961",
            "country_code": "US",
            "telephone_number": "503-941-3016",
            "fax_number": "503-640-4034",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10690 NE Cornell Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OR",
            "postal_code": "971249224",
            "country_code": "US",
            "telephone_number": "503-848-5861",
            "fax_number": "503-848-5863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEIGHBORHOOD HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEIGHBORHOOD HEALTH CENTER",
        "enumeration_date": "2011-02-15",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "BLAIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "503-941-3033",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500670049",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.