National Provider Identifier Database

CITY OF PORTLAND
Public Health, State or Local


Contact Information

CITY OF PORTLAND
39 FOREST AVE
PORTLAND, ME04101-2912
Phone: 207-874-8446
Fax:
Website:
Specialty Taxonomy Code
* Public Health, State or Local 261QP0905X
Federally Qualified Health Center (FQHC) 261QF0400X

* Indicates primary specialty

NPI Profile & details for CITY OF PORTLAND

NPI Number 1689799504
Legal business name
LBN
CITY OF PORTLAND
Authorized official ALFERDO VERGARA - (DIRECTOR, PUBLIC HEALTH DIVISION)
Entity Organization
Organization subpart No
Enumeration date 03/20/2007
Last updated 07/11/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • ME License #: H80CS00005-04-00

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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