OrganizationActive
Multnomah County
NPI 1275702201 · State or Local Public Health Clinic/Center · Portland, OR
Provider details
- NPI number
- 1275702201
- Entity type
- Organization
- Primary specialty
- State or Local Public Health Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Derrick Moten, Interim Business Services Director
Practice location
619 Nw 6th Ave Ste 500
Portland, OR 97209-3964
Phone: (503) 988-7468
Fax: (503) 988-3015
Mailing address
619 Nw 6th Ave Ste 500
Portland, OR 97209-3964
Registry dates
- Enumerated
- 2008-02-25
- Last updated
- 2024-05-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.