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CH10112AE MULTNOMAH COUNTY (Active)
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Main Details
Name
MULTNOMAH COUNTY
Subdivision Name
HIV Health Services Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-027444
340B ID
CH10112AE
Grant Number
H80CS00149
Additional Details
Current Program Status
Active
Registration Date
4/8/2013
Participating Start Date
7/1/2013
Participating Approval Date
6/4/2013
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
619 NW 6th Ave.
3rd Floor
PORTLAND, OR 97209
Billing Address
HIV Health Services 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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