OrganizationActive
Mulnomah County
NPI 1609369594 · Public Health Dentistry · Gresham, OR
Provider details
- NPI number
- 1609369594
- Entity type
- Organization
- Primary specialty
- Public Health DentistryDental Providers
- Parent organization
- Mulnomah County
- Organization subpart
- Yes
- Authorized official
- Derrick Moten, Interim Business Services Director(503) 988-2966
Specialties & taxonomies
Dental Providers
Practice location
3505 Se 182nd Ave
Gresham, OR 97030-5028
Phone: (503) 988-5488
Fax: (503) 988-5484
Approximate (ZIP-level) locationGet directions
Mailing address
421 Sw Oak St Ste 210
Portland, OR 97204-1842
Other names (DBA / former)
- Doing business as
- Multnomah County School Oral Health
- Doing business as
- Multnomah County School Oral Health
Registry dates
- Enumerated
- 2018-06-14
- 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.