Central City Concern

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

CENTRAL CITY CONCERN

Practice address

232 NW 6TH Ave
Portland, OR 97209-3609

Phone

(503) 294-1681

Fax

(503) 241-7419

NPI assigned

Apr 13, 2006

Last updated

Apr 9, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Andrew B Mendenhall, MDNPI 1053347591

Title

President & Ceo

Phone

(503) 294-1681

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR4 enrollments

Enrollment records 4

NPI to CCN mapping 4

The Medicare certification numbers (CCNs) connected to NPI 1881658276. Details of each certification follow.

• CCN 381811 Federally qualified health center · Active · Details
• CCN 381914 Federally qualified health center · Active · Details
• CCN 381984 Federally qualified health center · Active · Details
• CCN 931001 Federally qualified health center · Active · Details

Federally qualified health center certification: CCN 381811

Legal name

CENTRAL CITY CONCERN, INC.

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Oct 1, 1991

Last certification

Oct 1, 1991

Ownership / control type

For profit – individual

Organization structure

CorporationNon-profit

Incorporated

Sep 12, 1978 in OR

Enrollment address

727 W Burnside St
Portland, OR 97209-3514

Federally qualified health center certification: CCN 381914

Legal name

CENTRAL CITY CONCERN, INC.

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

May 15, 2009

Last certification

May 15, 2009

Ownership / control type

For profit – partnership

Organization structure

CorporationNon-profit

Incorporated

Sep 12, 1978 in OR

Enrollment address

33 NW Broadway
Portland, OR 97209-3580

Federally qualified health center certification: CCN 381984

Legal name

CENTRAL CITY CONCERN, INC.

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Jan 5, 2018

Last certification

Jan 5, 2018

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Sep 12, 1978 in OR

Enrollment address

1525 NE 37TH Ave
Portland, OR 97232-1843

Federally qualified health center certification: CCN 931001

Legal name

CENTRAL CITY CONCERN, INC.

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Jun 27, 2019

Last certification

Jun 27, 2019

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Sep 12, 1978 in OR

Enrollment address

12121 E Burnside St
Portland, OR 97216-3737

Other NPIs on the same Medicare enrollment 4

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

• Central City Concern, Inc.

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

  O20180122002627

  Same enrollment
• Central City Concern, Inc.

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

  O20090504000618

  Same enrollment
• Central City Concern, Inc.

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

  O20040811000235

  Same enrollment
• Central City Concern, Inc.

  dba Blackburn Center

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

  O20190116001366

  Same enrollment

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 Director, Corporate Officer, W-2 Managing Employee

  CMS ownership

Practitioners 23

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.

• Andrew B Mendenhall, MD

  • Addiction Medicine (Family Medicine) Physician
  • Portland, OR
  • NPI 1053347591
  Authorized official Same address or phone
• Jonathan Hubert Aebischer, FNP

  • Family Nurse Practitioner
  • Gladstone, OR
  • NPI 1639546203
  NPD (past)
• Afaf Sharen Azar, MD

  • Internal Medicine Physician
  • Portland, OR
  • NPI 1174883565
  NPD (past)
• Aubrey Balster, ND

  • Naturopath
  • Portland, OR
  • NPI 1528629441
  NPD (past)
• Lara Meghan Brinson, ND

  • Naturopath
  • Portland, OR
  • NPI 1538478805
  NPD (past)
• Pat A Buckley, ND, PA-C

  • Physician Assistant
  • Portland, OR
  • NPI 1043229248
  NPD (past)
• Luis Fernando Carrillo, FNP

  • Family Nurse Practitioner
  • Portland, OR
  • NPI 1083617658
  NPD (past)
• Brian Chan, M.D.

  • Internal Medicine Physician
  • Portland, OR
  • NPI 1588981625
  NPD (past)
• Stephanie Culver, N.D.

  • Naturopath
  • Portland, OR
  • NPI 1073916185
  NPD (past)
• Elona Kassia Dellabough-Gormley

  • Family Nurse Practitioner
  • Portland, OR
  • NPI 1023676640
  NPD (past)
• Meg Devoe, M.D.

  • Internal Medicine Physician
  • Portland, OR
  • NPI 1255591970
  NPD (past)
• Tracy Dodge, PA-C, MPH

  • Medical Physician Assistant
  • Portland, OR
  • NPI 1679023519
  NPD (past)

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775692800000",
    "number": "1881658276",
    "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": "232 NW 6TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093609",
            "telephone_number": "503-294-1681",
            "fax_number": "503-241-7419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL CITY CONCERN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-13",
        "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": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• Federally Qualified Health Center (FQHC) in Portland, OR
• Providers in Portland, OR by specialty
• 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.