Provider Demographics
NPI:1295088847
Name:NCFC
Entity type:Organization
Organization Name:NCFC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ALINA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIMSTED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-252-8125
Mailing Address - Street 1:2100 SW CAMELOT CT
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97225-3700
Mailing Address - Country:US
Mailing Address - Phone:503-252-8125
Mailing Address - Fax:503-256-8422
Practice Address - Street 1:2100 SW CAMELOT CT
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97225-3700
Practice Address - Country:US
Practice Address - Phone:503-252-8125
Practice Address - Fax:503-256-8422
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-19
Last Update Date:2019-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty
No176B00000XOther Service ProvidersMidwifeGroup - Multi-Specialty
No261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthingGroup - Multi-Specialty