Active NPI
Central City Concern, Inc.
- Federally Qualified Health Center (FQHC)
- Portland, OR
National Provider Identifier
1336051655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- CENTRAL CITY CONCERN, INC.
- Practice address
- 225 NW Couch St
Suite 241
Portland, OR 97209 - Phone
- (503) 228-4533
- NPI assigned
- Sep 21, 2026
- Last updated
- Sep 21, 2026
- 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
- Andrew B Mendenhall
- Title
- President & Ceo
- Phone
- (413) 584-2173
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
225 NW Couch St
Suite 241
Portland, OR 97209
Mailing address
121 NW Everett St
Portland, OR 97209-4049
Other names 1
- Estate Primary Care Clinic
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789948800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789948800000",
"number": "1336051655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 NW EVERETT ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972094049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 NW COUCH ST",
"address_2": "SUITE 241",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97209",
"telephone_number": "503-228-4533"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL CITY CONCERN, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-21",
"last_updated": "2026-09-21",
"certification_date": "2026-09-21",
"status": "A",
"authorized_official_last_name": "MENDENHALL",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"authorized_official_telephone_number": "413-584-2173"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Estate Primary Care Clinic",
"code": "5",
"type": "Other Name"
}
]
}
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 Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.