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CH106290 OUTSIDE IN (Active)
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Main Details
Name
OUTSIDE IN
Subdivision Name
OUTSIDE IN
Type
HRSA-Funded Health Center
Site ID
BPS-H80-005130
340B ID
CH106290
Grant Number
H80CS00243
Additional Details
Current Program Status
Active
Registration Date
7/1/1995
Participating Start Date
7/1/1995
Participating Approval Date
3/26/2005
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
Outside In
Iris Martin, Interim Co-Executive Director
(503) 734-6758
Primary Contact
Outside In
Mindy Butler, Pharmacy Director
(503) 535-3888
Addresses
Street Address
1132 SW 13th Ave
Portland, OR 97205-1703
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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3/26/05 - ADMIN CORRECTION REPLACES HO106290
07/01/1995
June 2025
June 2025
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