Organization
MULTNOMAH COUNTY
Active
Parent organization
COUNTY OF MULTNOMAH
Other names
Multnomah County Health Dept, Northeast
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF MULTNOMAH
Authorized official
MS. WENDY LEAR (BUSINESS SERVICES MANAGER)
(503) 988-7462
Entity
Organization
Contact information
Practice address
5329 NE MLK JR BLVD, PORTLAND, OR 97211-3237
(503) 988-7462
(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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