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FQHCLA405B CASCADE AIDS PROJECT (Active)
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Main Details
Name
CASCADE AIDS PROJECT
Subdivision Name
Prism Health
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-038324
340B ID
FQHCLA405B
Grant Number
LALCS33965
Additional Details
Current Program Status
Active
Registration Date
5/9/2024
Participating Start Date
7/1/2024
Participating Approval Date
5/13/2024
Last Recertification Date
2/24/2025
Contacts
Authorizing Official
Cascade AIDS Project
Jessica Cole, Senior Director of Compliance & Risk Management
(503) 445-7699
Primary Contact
Cascade AIDS Project
Kevin Bumatay, Chief Finance & Operations Officer
(503) 223-5907
Addresses
Street Address
15 N Morris St
Portland, OR 97227-1541
Billing Address
Cascade AIDS Project
520 NW Davis Street
Suite 215
Portland, OR 97209
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
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