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NPI 1831697259 · Federally Qualified Health Center (FQHC) · Milwaukie, OR
Provider details
- NPI number
- 1831697259
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Amy Moore, Medical Billing Manager(503) 535-3842
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
4950 Se Roethe Rd
Milwaukie, OR 97267-5746
Phone: (503) 353-5847
Fax: (503) 467-5563
Street-level locationGet directions
Mailing address
1132 Sw 13th Ave
Portland, OR 97205-1703
Registry dates
- Enumerated
- 2018-01-31
- Last updated
- 2018-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.