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NPI 1104193283 · Federally Qualified Health Center (FQHC) · Milwaukie, OR
Provider details
- NPI number
- 1104193283
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Heather Reppeto, Executive Director(503) 535-3860
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11300 Se 23rd Avenue
Milwaukie High School Health & Wellness Center
Milwaukie, OR 97222-7753
Phone: (503) 535-3861
Fax: (503) 223-6837
Street-level locationGet directions
Mailing address
1132 Sw 13th Ave
Portland, OR 97205-1703
Registry dates
- Enumerated
- 2011-11-17
- Last updated
- 2025-10-08
- Certified
- 2025-10-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.