Active NPI
Good News Community Health Center, Inc
- Primary Care Clinic/Center
- Portland, OR
National Provider Identifier
1932519659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- GOOD NEWS COMMUNITY HEALTH CENTER, INC
- Practice address
- 18000 SE Stark St
Portland, OR 97233-4828 - Phone
- (503) 489-0567
- NPI assigned
- May 2, 2014
- Last updated
- Oct 30, 2014
- 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
- Teresa Annette Hare
- Title
- Patient Resource Manager
- Phone
- (503) 345-9816
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | NU | Primary |
Addresses
Primary practice location
18000 SE Stark St
Portland, OR 97233-4828
Mailing address
PO Box 3113
Gresham, OR 97030-0324
Phone (503) 489-0567
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 38D1068814 | Good News Community Health Center | Certificate of waiver | May 20, 2027 |
National Provider Directory
National Provider DirectoryLocations
18000 SE Stark St
Portland, OR 97233
Phone (503) 255-4243
Interoperability endpoints
- https://api.platform.athenahealth.com/17909/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 6
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.
-
- Family Nurse Practitioner
- Portland, OR
- NPI 1205362597
-
- Internal Medicine Physician
- Portland, OR
- NPI 1104804244
-
- Gerontology Nurse Practitioner
- Portland, OR
- NPI 1932922168
-
- Primary Care Nurse Practitioner
- Clackamas, OR
- NPI 1578299772
-
- Mental Health Counselor
- Portland, OR
- NPI 1952794919
-
- Women's Health Nurse Practitioner
- Portland, OR
- NPI 1962418590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1414627200000",
"number": "1932519659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3113",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970300324",
"telephone_number": "503-489-0567",
"fax_number": "503-489-0568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18000 SE STARK ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972334828",
"telephone_number": "503-489-0567"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOOD NEWS COMMUNITY HEALTH CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-02",
"last_updated": "2014-10-30",
"status": "A",
"authorized_official_last_name": "HARE",
"authorized_official_first_name": "TERESA",
"authorized_official_middle_name": "ANNETTE",
"authorized_official_title_or_position": "PATIENT RESOURCE MANAGER",
"authorized_official_telephone_number": "503-345-9816"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Oct 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.