Organization
MULTNOMAH COUNTY
Active
Parent organization
MULTNOMAH COUNTY
Other names
Multnomah County Health Dept,Mid County
Organization subpart
Yes
Provider details
NPI number
Legal business name
MULTNOMAH COUNTY
Authorized official
MRS. WENDY LEAR (BUSINESS SERVICES MANAGER)
(503) 988-7462
Entity
Organization
Contact information
Practice address
12710 SE DIVISION ST, PORTLAND, OR 97236-3134
(503) 988-3663
(503) 988-3015
Mailing address
619 NW 6TH AVE STE 500, PORTLAND, OR 97209-3964
(503) 988-7468
(503) 988-3015
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
OR
261QP0905X
State or Local Public Health Clinic/Center
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022959
—
OR
05
—
096511
—
OR
Enumeration date
02/02/2007
Last updated
02/03/2020
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