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CH10112L MULTNOMAH COUNTY (Active)
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Main Details
Name
MULTNOMAH COUNTY
Subdivision Name
MID COUNTY HEALTH CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-001601
340B ID
CH10112L
Grant Number
H80CS00149
Additional Details
Current Program Status
Active
Registration Date
5/24/2006
Participating Start Date
7/1/2006
Participating Approval Date
5/25/2006
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Multnomah County
Jenna Green, Community Health Center Interim Executive Director
(503) 988-6734
Primary Contact
Multnomah County
Astrid Hollensteiner, Pharmacy Program Analyst
(503) 988-8850
Addresses
Street Address
12710 SE Division St
Portland, OR 97236-3134
Billing Address
MID COUNTY HEALTH CENTER
619 NW 6th Ave.
5th FLOOR
PORTLAND, OR 97209
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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