# MULTNOMAH COUNTY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Vaccine Depot
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023451044
- **Authorized official:** ANTOINETTE PAYNE (BUSINESS SERVICES DIRECTOR)
- **Authorized official phone:** (971) 325-6412

## Contact information

- **Practice address:** 619 NW 6TH AVE, PORTLAND, OR 97209-3964
- **Practice address phone:** (503) 988-7468
- **Practice address fax:** (503) 988-3015
- **Mailing address:** 619 NW 6TH AVE, PORTLAND, OR 97209-3964
- **Mailing address phone:** (503) 988-7468
- **Mailing address fax:** (503) 988-3015

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP0905X | State or Local Public Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/09/2013
- **Last updated:** 08/28/2026