MEDICARE: THE IMMIGRANT AND REFUGEE COMMUNITY ORGANIZATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	172V00000X	Community Health Worker
2	374J00000X	Doula
3	171R00000X	Interpreter

General Provider Information

NPI Number	:	1386473718
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE IMMIGRANT AND REFUGEE COMMUNITY ORGANIZATION

Provider Business Mailing Address
First Line	:	10301 NE GLISAN ST
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97220-4013
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10301 NE GLISAN ST
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97220-4013
Country	:	US
Telephone Number	:	503-234-0068
Fax Number	:

Authorized Official
Title or Position	:	ILB MANAGER
Name	:	TRIET NGUYEN
Credential	:
Telephone Number	:	971-271-6480

Provider Enumeration Date	:	08/01/2024
Last Update Date	:	03/12/2026

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Directions to “THE IMMIGRANT AND REFUGEE COMMUNITY ORGANIZATION ” Practice Location

Language	Start Address	Practice Location

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