Active NPI
Central City Concern
- Substance Abuse Rehabilitation Facility
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- CENTRAL CITY CONCERN
- Practice address
- 1535 N Williams Ave
Portland, OR 97227-1885 - Phone
- (503) 238-2067
- Fax
- (503) 238-2004
- NPI assigned
- May 18, 2007
- Last updated
- Apr 9, 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
- Dr. Andrew B Mendenhall, MD
- Title
- President & Ceo
- Phone
- (503) 294-1681
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | NU | ||
| Substance Abuse Rehabilitation Facility | 324500000X | NU | Primary |
Addresses
Primary practice location
1535 N Williams Ave
Portland, OR 97227-1885
Mailing address
121 NW Everett St
Portland, OR 97209-4049
Phone (503) 294-1681
Other names 1
- Hooper Detoxification & Stabilization Center
National Provider Directory
National Provider DirectoryLocations
1535 N Williams Ave
Portland, OR 97227
Phone (503) 238-2003
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Addiction Medicine (Family Medicine) Physician
- Portland, OR
- NPI 1053347591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775692800000",
"number": "1609084904",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1535 N WILLIAMS AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972271885",
"telephone_number": "503-238-2067",
"fax_number": "503-238-2004"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL CITY CONCERN",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-18",
"last_updated": "2026-04-09",
"certification_date": "2026-04-09",
"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": "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": "NU",
"license": null,
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Hooper Detoxification & Stabilization Center",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Hooper Detoxification & Stabilization Center",
"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 Apr 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.