340B Drug Pricing Program Database
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CH10112AN Multnomah, County of (Active)
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Main Details
Name
Multnomah, County of
Subdivision Name
Multnomah Mobile Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-036709
340B ID
CH10112AN
Grant Number
H80CS00149
Additional Details
Current Program Status
Active
Registration Date
10/3/2023
Participating Start Date
1/1/2024
Participating Approval Date
10/12/2023
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
1620 SE 190th Ave
Portland, OR 97233-5910
Billing Address
Multnomah County Mobile Clinic
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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