OrganizationActive
Multnomah County Health Department
NPI 1306394549 · Federally Qualified Health Center (FQHC) · Portland, OR
Provider details
- NPI number
- 1306394549
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Derrick Moten, Interim Business Services Director(503) 988-2966
- License
- 201606068NP-PP (OR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12710 Se Division St
Portland, OR 97236-3134
Phone: (503) 988-3601
Street-level locationGet directions
Mailing address
12710 Se Division St
Portland, OR 97236-3134
Registry dates
- Enumerated
- 2016-09-16
- Last updated
- 2024-05-18
- Certified
- 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.