Organization
MULTNOMAH COUNTY HEALTH DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DERRICK MOTEN (INTERIM BUSINESS SERVICES DIRECTOR)
(503) 988-2966
Entity
Organization
Contact information
Practice address
12710 SE DIVISION ST, PORTLAND, OR 97236-3134
(503) 988-3601
Mailing address
12710 SE DIVISION ST, PORTLAND, OR 97236-3134
(503) 988-3601
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
201606068NP-PP
OR
Other
Enumeration date
09/16/2016
Last updated
05/18/2024
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