Mulnomah County

NPI #1821757527 in Troutdale, Oregon

Provider Information

NPI Number
1821757527
Entity Type
Organization
Organization Name
Mulnomah County
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Dec 10, 2021
Last Updated
May 18, 2024

Practice Location

Address
1698 SW CHERRY PARK RD
State
Oregon
ZIP Code
97060-1481
Phone
(503) 988-3340

Authorized Official

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

Specialties & Taxonomy Codes

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

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