Organization
MULTNOMAH COUNTY
Active
Other names
Multnomah County Health Department, David Douglas
Organization subpart
No
Provider details
NPI number
Authorized official
DERRICK MOTEN (INTERIM BUSINESS SERVICES MANAGER)
(503) 988-2966
Entity
Organization
Contact information
Practice address
1034 SE 130TH AVENUE, PORTLAND, OR 97233
(503) 988-3554
(503) 988-4225
Mailing address
619 NW 6TH AVE STE 500, PORTLAND, OR 97209-3964
(503) 988-7468
(503) 988-4098
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022959
—
OR
Enumeration date
07/19/2010
Last updated
05/18/2024
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