Central City Concern, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

CENTRAL CITY CONCERN, INC.

Practice address

709 NW Everett St
Portland, OR 97209-3517

Phone

(971) 269-2612

Fax

(503) 501-5679

NPI assigned

Apr 14, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Andrew Mendenhall, MD

Title

President & Ceo

Phone

(503) 294-1681

Specialties & licenses 1

Addresses

Other names 1

• Community Engagement Program Other name

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Federally qualified health center certification: CCN 381042

Legal name

CENTRAL CITY CONCERN, INC.

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Oct 7, 2024

Last certification

Oct 7, 2024

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Sep 12, 1978 in OR

Enrollment address

709 NW Everett St
Portland, OR 97209-3517

Other NPIs with the same Medicare PAC ID 11

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

• Central City Concern Inc

  • Federally Qualified Health Center (FQHC)
  • Portland, OR
  • NPI 1649036880

  6103803259

  Same PAC ID
• Central City Concern, Inc

  • Federally Qualified Health Center (FQHC)
  • Portland, OR
  • NPI 1548071848

  6103803259

  Same PAC ID
• Central City Concern, Inc

  • Federally Qualified Health Center (FQHC)
  • Portland, OR
  • NPI 1730860107

  6103803259

  Same PAC ID
• Central City Concern, Inc

  • Federally Qualified Health Center (FQHC)
  • Portland, OR
  • NPI 1760220776

  6103803259

  Same PAC ID
• Central City Concern, Inc

  • Federally Qualified Health Center (FQHC)
  • Portland, OR
  • NPI 1831575679

  6103803259

  Same PAC ID
• Central City Concern, Inc

  • Federally Qualified Health Center (FQHC)
  • Portland, OR
  • NPI 1851651244

  6103803259

  Same PAC ID
• Central City Concern, Inc.

  • Federally Qualified Health Center (FQHC)
  • Portland, OR
  • NPI 1366010647

  6103803259

  Same PAC ID
• Central City Concern, Inc.

  • Federally Qualified Health Center (FQHC)
  • Portland, OR
  • NPI 1427563733

  6103803259

  Same PAC ID
• Central City Concern, Inc.

  • Federally Qualified Health Center (FQHC)
  • Portland, OR
  • NPI 1497044382

  6103803259

  Same PAC ID
• Central City Concern, Inc.

  • Federally Qualified Health Center (FQHC)
  • Portland, OR
  • NPI 1659661346

  6103803259

  Same PAC ID
• Central City Concern, Inc.

  • Federally Qualified Health Center (FQHC)
  • Portland, OR
  • NPI 1932674801

  6103803259

  Same PAC ID

Locations

All disclosed owners & managing parties 19

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

Owners & managing parties with NPI records 3

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

• Stacie Lorraine Carney, MD

  • Internal Medicine Physician
  • Milwaukie, OR
  • NPI 1154527042

  Corporate Director

  CMS ownership
• Katrina McPherson, M.D.

  • Pediatrics Physician
  • Forest Grove, OR
  • NPI 1174602247

  Corporate Director

  CMS ownership
• Andrew B Mendenhall, MD

  • Addiction Medicine (Family Medicine) Physician
  • Portland, OR
  • NPI 1053347591

  Corporate Officer, Operational/Managerial Control, W-2 Managing Employee

  CMS ownership

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

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775692800000",
    "number": "1487944179",
    "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",
            "telephone_number": "503-294-1681",
            "fax_number": "503-294-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 NW EVERETT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093517",
            "telephone_number": "971-269-2612",
            "fax_number": "503-501-5679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL CITY CONCERN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-14",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A",
        "authorized_official_last_name": "MENDENHALL",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "503-294-1681",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "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": "Community Engagement Program",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Central City Concern, Inc
• Central City Concern, Inc
• Central City Concern, Inc
• Central City Concern, Inc.
• Central City Concern, Inc.
• Central City Concern, Inc.
• Central City Concern, Inc.
• Central City Concern, Inc.
• Central City Concern, Inc.
• Central City Concern, Inc.

• All providers in Portland, OR
• Federally Qualified Health Center (FQHC) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.