OrganizationActive
African Youth and Community Organization
NPI 1326649500 · Community Health Clinic/Center · Portland, OR
Provider details
- NPI number
- 1326649500
- Entity type
- Organization
- Primary specialty
- Community Health Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Jamal Dar, Executive Director
Practice location
1390 Se 122nd Ave Ste Ue
Portland, OR 97233-1203
Phone: (971) 254-8916
Mailing address
432 Ne 74th Ave
Portland, OR 97213-6312
Registry dates
- Enumerated
- 2020-11-04
- Last updated
- 2021-06-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.