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FQHCLA433A Cascadia Health (Active)
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Main Details
Name
Cascadia Health
Subdivision Name
Cascadia Woodland Park Health Center
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-032079
340B ID
FQHCLA433A
Grant Number
LALCS40208
Additional Details
Current Program Status
Active
Registration Date
3/7/2022
Participating Start Date
3/7/2022
Participating Approval Date
3/7/2022
Last Recertification Date
2/14/2025
Contacts
Authorizing Official
Cascadia Health
Robert Trachtenberg, Senior Director Health Center Operations
(503) 963-7661
Primary Contact
Cascadia Health
Deryk Coker, 340B Compliance Specialist
(503) 238-0769
Addresses
Street Address
10373 NE Hancock St. STE 200
Portland, OR 97220-3873
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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