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CHC24145-00 WALLACE MEDICAL CONCERN, THE (Active)
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Main Details
Name
WALLACE MEDICAL CONCERN, THE
Subdivision Name
Wallace Rockwood Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-011523
340B ID
CHC24145-00
Grant Number
H80CS24145
Additional Details
Current Program Status
Active
Registration Date
1/7/2014
Participating Start Date
4/1/2014
Participating Approval Date
1/31/2014
Last Recertification Date
2/13/2025
Contacts
Authorizing Official
The Wallace Medical Concern
Lisa Cline, CEO
(503) 907-0591
Primary Contact
The Wallace Medical Concern
Stuart Currie, CMO
(503) 489-1760 Ext: 621
Addresses
Street Address
18633 SE Stark St.
Suite 401
Portland, OR 97233-5468
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
June 2025
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