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 1679047872

Portland Community Health Center is an Obstetrics & Gynecology Physician in Portland, Maine. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
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Practice location Address checks out

52 Frederic St
Portland, ME 04102-2700
Phone: (207) 874-2141
Fax: (207) 874-2164
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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 number1679047872
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ann Tucker — Ceo · (207) 874-2141
Other names Greater Portland Health Logan Place; Greater Portland Health Logan Place
NPI enumeratedJanuary 22, 2019
Last updated in NPPESJune 9, 2023
Certification dateJune 9, 2023
Mailing address180 Park Ave, Portland, ME 04102-2957

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