Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Portland Community Health Center

Organization Obstetrics & Gynecology Physician · NPI 1184178246

Portland Community Health Center is an Obstetrics & Gynecology Physician in Portland, Maine. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
2
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Practice location Address checks out

196 Allen Ave
Portland, ME 04103-3711
Phone: (207) 842-4693
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X
Obstetrics & Gynecology Physician Taxonomy 207V00000X

Record details

NPI number1184178246
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPortland Community Health Center
Authorized official Ann Tucker — Cfo · (207) 874-2141
Other names Casco Bay High; Casco Bay High
NPI enumeratedAugust 6, 2016
Last updated in NPPESJune 9, 2023
Certification dateJune 9, 2023
Mailing address180 Park Ave, Portland, ME 04102-2957

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