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CH10112AJ MULTNOMAH COUNTY (Active)
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Main Details
Name
MULTNOMAH COUNTY
Subdivision Name
Billi Odegaard Dental Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-012440
340B ID
CH10112AJ
Grant Number
H80CS00149
Additional Details
Current Program Status
Active
Registration Date
4/10/2014
Participating Start Date
7/1/2014
Participating Approval Date
4/18/2014
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
33 NW Broadway STE 380
Portland, OR 97209-3580
Billing Address
Billi Odegaard Dental Clinic
619 NW 6th Ave.
5th Floor
Portland, OR 97209-1842
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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