NPI 1013331495
Portland Community Health Center
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
Obstetrics & Gynecology Physician
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.