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CH10112T MULTNOMAH COUNTY (Active)
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Main Details
Name
MULTNOMAH COUNTY
Subdivision Name
Rockwood Community Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-010664
340B ID
CH10112T
Grant Number
H80CS00149
Additional Details
Current Program Status
Active
Registration Date
9/10/2010
Participating Start Date
10/1/2010
Participating Approval Date
9/14/2010
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
2020 SE 182nd Avenue
Portland, OR 97233-5692
Billing Address
Rockwood Community 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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9/30/10 ADDED MEDICAID #
09/30/2010
April 2025
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