OrganizationActive
Central City Concern
NPI 1437624046 · Clinic Pharmacy · Portland, OR
Provider details
- NPI number
- 1437624046
- Entity type
- Organization
- Primary specialty
- Clinic PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Andrew Mendenhall, President & Ceo(503) 294-1681
Specialties & taxonomies
Suppliers
- Federally Qualified Health Center (FQHC)261QF0400X
Ambulatory Health Care Facilities
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
12121 E Burnside St
Portland, OR 97216-3737
Phone: (971) 361-7700
Street-level locationGet directions
Mailing address
121 Nw Everett St
Portland, OR 97209-4049
Other names (DBA / former)
- Other name
- Blackburn Pharmacy
- Other name
- Blackburn Pharmacy
Registry dates
- Enumerated
- 2018-10-10
- Last updated
- 2026-04-09
- Certified
- 2026-04-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.