Multnomah County

NPI #1083115612 in Portland, Oregon

Provider Information

NPI Number
1083115612
Entity Type
Organization
Organization Name
Multnomah County
Subpart
Yes (part of a larger organization)
Parent Organization
MULNOMAH COUNTY
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Feb 28, 2018
Last Updated
May 18, 2024

Practice Location

Address
12710 SE DIVISION ST
State
Oregon
ZIP Code
97236-3134
Phone
(503) 988-3410

Authorized Official

Name
DERRICK MOTEN
Title
INTERIM BUSINESS SERVICES DIRECTOR
Phone
(503) 988-2966

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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