Organization
MULTNOMAH COUNTY
Active
Parent organization
COUNTY OF MULTNOMAH
Other names
Multnomah County Health Dept./Juvenile Justice
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF MULTNOMAH
Authorized official
DERRICK MOTEN (INTERIM BUSINESS SERVICES DIRECTOR)
(503) 988-2966
Entity
Organization
Contact information
Practice address
1401 NE 68TH AVE, JUVENILE JUSTICE COMPLEX, PORTLAND, OR 97213-4957
(503) 988-3663
(503) 988-3510
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022959
—
OR
Enumeration date
04/30/2009
Last updated
05/18/2024
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