Organization
MULTNOMAH COUNTY
Active
Parent organization
COUNTY OF MULTNOMAH
Other names
Multnomah County Health Dept -Corrections Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF MULTNOMAH
Authorized official
DERRICK MOTEN (INTERIM BUSINESS SERVICES DIRECTOR)
(503) 988-2966
Entity
Organization
Contact information
Practice address
1120 SW 3RD AVE, DENTENTION CENTER, PORTLAND, OR 97204-2801
(503) 988-3976
(503) 988-3975
Mailing address
421 SW OAK ST, SUITE 210, PORTLAND, OR 97204-1817
(503) 988-3056
(503) 988-3015
Taxonomy
Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/30/2009
Last updated
05/18/2024
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