Organization
MULTNOMAH COUNTY
Active
Other names
Communicable Disease
Organization subpart
No
Provider details
NPI number
Authorized official
DERRICK MOTEN (INTERIM BUSINESS SERVICES DIRECTOR)
(503) 988-2966
Entity
Organization
Contact information
Practice address
619 NW 6TH AVE, PORTLAND, OR 97209-3964
(503) 988-3406
(503) 988-3407
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
261QC1500X
Community Health Clinic/Center
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096511
—
OR
Enumeration date
12/31/2015
Last updated
05/18/2024
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