City of Portland

NPI #1689799504 in Portland, Maine

Provider Information

NPI Number: 1689799504
Entity Type: Organization
Organization Name: City of Portland
Primary Specialty: Clinic/Center - Public Health, State or Local
Enumeration Date: Mar 20, 2007
Last Updated: Jul 11, 2024

Practice Location

Address: 39 FOREST AVE
City: Portland
State: Maine
ZIP Code: 04101-2912
Phone: (207) 874-8446

Authorized Official

Name: ALFERDO EDUARDO VERGARA, PHD.
Title: DIRECTOR, PUBLIC HEALTH DIVISION
Phone: (207) 874-8446

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)	261QF0400X
Clinic/Center - Public Health, State or Local — Public Health, State or Local	261QP0905X	Primary

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City of Portland Maine	Clinic/Center - Public Health, State or Local	Portland	AI Deep Dive

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