CENTRAL CITY CONCERN
NPI 1114230331
Pharmacy - Clinic Pharmacy in Portland, OR

Q: What is Central City Concern's NPI number?

The NPI number for Central City Concern is 1114230331. It was assigned to this organization in the NPPES registry on July 16, 2010. The provider is doing business as Old Town Clinic Pharmacy.

Q: What is Central City Concern's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Clinic Pharmacy, with taxonomy code 3336C0002X.

Active since July 16, 2010

727 W BURNSIDE ST, PORTLAND, OR 97209(503) 944-4465(971) 271-6124 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 9, 2026, Mar 6, 2023, May 30, 2019 and 2 more (5 updates tracked since 2017).

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About Central City Concern NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTRAL CITY CONCERN (NPI 1114230331), doing business as Old Town Clinic Pharmacy, is a healthcare organization registered as a clinic pharmacy in Portland, Oregon and active in the NPI registry since July 2010. The organization lists Andrew B Mendenhall, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1114230331

Entity TypeOrganization

Primary Taxonomy3336C0002X

Legal Business NameCENTRAL CITY CONCERN

Location Address727 W BURNSIDE STPortland, OR 97209-3514

Mailing Address121 Nw Everett StPortland, OR 97209-4049 · (503) 294-1681

Phone(503) 944-4465

Fax(971) 271-6124

Organization SubpartNo

Authorized OfficialAndrew B MendenhallPresident & Ceo · (503) 294-1681

Enumeration DateJuly 16, 2010

Last NPPES UpdateApril 9, 20265 updates tracked since enumeration

NPPES CertifiedApril 9, 2026

✔ NPI 1114230331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Clinic PharmacySuppliers

Taxonomy Code3336C0002X

License✔ Licensed in OR · RP0002607-CS

Definition

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

727 W BURNSIDE ST, Portland, OR 97209

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Other Names 1

Doing Business AsOld Town Clinic Pharmacy

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELONA KASSIA DELLABOUGH-GORMLEY

Nurse Practitioner (Family)