Organization
MULTNOMAH COUNTY
Active
Other names
STD PIVOT
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY LEAR (DEPARTMENT DIRECTOR)
(503) 988-7511
Entity
Organization
Contact information
Practice address
209 SW 4TH AVE, PORTLAND, OR 97204-1813
(503) 445-7699
(503) 988-3015
Mailing address
421 SW OAK ST, STE. 210, PORTLAND, OR 97204-1817
(503) 988-7468
(503) 988-3015
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096511
—
OR
05
—
22959
—
OR
Enumeration date
08/27/2014
Last updated
09/03/2014
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