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Organization
MULTNOMAH COUNTY
Active
Organization
MULTNOMAH COUNTY
Active
Other names
Vaccine Depot
Organization subpart
No
Provider details
NPI number
Authorized official
ANTOINETTE PAYNE (BUSINESS SERVICES DIRECTOR)
(971) 325-6412
Entity
Organization
Contact information
Practice address
619 NW 6TH AVE, PORTLAND, OR 97209-3964
(503) 988-7468
(503) 988-3015
Mailing address
619 NW 6TH AVE, PORTLAND, OR 97209-3964
(503) 988-7468
(503) 988-3015
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/09/2013
Last updated
08/28/2026
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