Organization
MULTNOMAH COUNTY
Active
Parent organization
COUNTY OF MULTNOMAH
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
5210 N KERBY AVE, PORTLAND, OR 97217-2656
(503) 988-3360
(503) 988-5780
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
02/24/2009
Last updated
05/18/2024
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