Oregon Change Clinic
Clinic/Center (Community Health)

Address: 650 Ne Holladay Street, Suite 1600, Portland, OR 97232
Phone: 5039842173

Oregon Change Clinic (NPI# 1881293215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1881293215
Entity Type Organization
Practice Address 650 Ne Holladay Street
Suite 1600
OR 97232
Practice Telephone 5039842173
Mailing Address 650 Ne Holladay Street
Suite 1600
OR 97232
Mailing Telephone 5039842173
Authorized Official Name Michael Braxton (CLINICAL DIRECTOR)
Authorized Official Telephone 5039842173
Authorized Official Credential CADC III
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-10-17
Last Update Date 2020-10-17

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 261QC1500X Clinic/Center · Community Health Ambulatory Health Care Facilities

Taxonomy Information

Taxonomy Code 261QC1500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Community Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811339666 Oregon Health & Science University Clinic/Center 2952 Ne 34th Ave, Portland, OR 97212-2705 2013-07-22
1639534969 Multnomah County Clinic/Center 619 Nw 6th Ave, Portland, OR 97209-3964 2015-12-31
1033518188 Central City Concern Clinic/Center 727 W Burnside St, Portland, OR 97209-3514 2014-08-14
1184918955 Prov Health Sys-or Shared-svs Div Clinic/Center 9340 Sw Barnes Rd, Suite 200, Portland, OR 97225-6623 2011-06-08

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NPI Name Taxonomy Address Enumeration
1346850500 Opportunity Connections, Inc. Clinic/Center 1102 12th St, Hood River, OR 97031-1602 2020-08-03
1750827184 Elizabeth Villagrana Clinic/Center 32753 E Delaney St, Coburg, OR 97408-9265 2017-01-09
1316268220 Ruthie Faye Berrell Clinic/Center 1640 G Street, Springfield, OR 97477 2010-06-15
1588981096 Joan Jackson Cavan Clinic/Center 86595 N Modesto Dr, Eugene, OR 97402-9045 2010-04-23
1639316193 La Pine Community Health Center Clinic/Center 51600 Huntington Road, Suite C, La Pine, OR 97739-0001 2009-01-20
1376546291 Willamette Family, Inc Clinic/Center 687 Cheshire Ave, Eugene, OR 97402-5060 2005-05-24
1124534185 Columbiacare Services Inc Clinic/Center 2345 Marion St, North Bend, OR 97459-2637 2017-12-28
1457897548 Lukedorf Clinic/Center 8915 Sw Center St, Tigard, OR 97223-6307 2017-01-12
1427594977 Coast Community Health Clinic Clinic/Center 1010 1st St Se, Bandon, OR 97411-9301 2017-01-09
1245608819 Annette Louise Koski Clinic/Center 65 Se Goodfellow St, Ontario, OR 97914-3016 2015-09-12
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Office Location

Street Address 650 NE HOLLADAY STREET
SUITE 1600
State OR
Zip Code 97232

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154969947 Lori Kristen Miracle Acupuncturist Kwan Yin Healing Arts Center East Inc, 3115 Ne Sandy Blvd. Suite 231, Portland, OR 97232 2019-12-12
1194285411 Onampai Modina Soondarotok Student in an Organized Health Care Education/Training Program Ipp, Oregon Health & Science University, 2214 Lloyd Center, Portland, OR 97232 2019-03-22
1003399635 Cathleen Nicole Wenberg Social Worker 1839 Ne Couch St, Portland, OR 97232 2018-09-10
1508350760 Float North Acupuncturist 1617 Ne 17th Ave., Portland, OR 97232 2018-06-20
1629560719 Rachael Lee Walters Doula 3005 Ne Hoyt St, Portland, OR 97232 2018-06-04
1225529431 Jason Sutherland Social Worker 707 Ne Couch, Portland, OR 97232 2018-05-23
1770089245 Richard Farwell Leman Family Medicine 800 Ne Oregon St., Suite 772, Portland, OR 97232 2018-04-03
1952803413 Aleksandra Giedowyn Md PC Family Medicine 1923 Ne Broadway Street Suite 2, Portland, OR 97232 2018-03-01
1639680374 Amanda Matteo Counselor 20 Ne 10th Ave, Portland, OR 97232 2017-10-20
1043755028 Raolat Ajibade IIi Adult Companion 847 N.e 19thave, Portland, OR 97232 2016-12-29
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Zip Code 97232

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.