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FQHCLA405A Cascade Aids Project (Active)
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Main Details
Name
Cascade Aids Project
Subdivision Name
Cascade AIDS Project
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-030390
340B ID
FQHCLA405A
Grant Number
LALCS33965
Additional Details
Current Program Status
Active
Registration Date
4/1/2020
Participating Start Date
7/1/2020
Participating Approval Date
4/2/2020
Last Recertification Date
2/24/2025
Contacts
Authorizing Official
Cascade AIDS Project
Jessica Cole, Senior Director of Compliance & Risk Management
(503) 445-7699
Primary Contact
Cascade AIDS Project
Kevin Bumatay, Chief Finance & Operations Officer
(503) 223-5907
Addresses
Street Address
520 NW Davis St Ste 215
Portland, OR 97209-3620
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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