Whalio Doctors

NPI 1013331495

Portland Community Health Center

Organisation Federally Qualified Health Center (FQHC) Portland, ME

Practice location

Address
63 Preble St, Portland, ME 04101-3014
Phone
(207) 874-2141
Fax
(207) 874-2164
Mailing address
180 Park Ave, Portland, ME 04102-2957

Authorised official

Name
Ann Tucker
Title
Cfo
Phone
(207) 874-2141

Registered specialties (2)

Federally Qualified Health Center (FQHC) Primary
Ambulatory Health Care Facilities Taxonomy 261QF0400X Licence H80CS256800202 (ME)
Obstetrics & Gynecology Physician
Allopathic & Osteopathic Physicians Taxonomy 207V00000X

Registry record

NPI
1013331495
Entity type
Organization
NPI issued
6 Feb 2014
Record last updated
9 Jun 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.