OrganizationActive
Multnomah County
NPI 1720126816 · State or Local Public Health Clinic/Center · Portland, OR
Provider details
- NPI number
- 1720126816
- Entity type
- Organization
- Primary specialty
- State or Local Public Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Derrick Moten, Interim Business Services Director(503) 988-2966
Specialties & taxonomies
Ambulatory Health Care Facilities
- Federally Qualified Health Center (FQHC)261QF0400X
Ambulatory Health Care Facilities
Practice location
3653 Se 34th Ave
Portland, OR 97202-3034
Phone: (503) 988-7462
Fax: (503) 988-3015
Approximate (ZIP-level) locationGet directions
Mailing address
619 Nw 6th Ave Ste 500
Portland, OR 97209-3964
Other names (DBA / former)
- Doing business as
- Multnomah County Health Dept, Southeast
- Doing business as
- Multnomah County Health Dept, Southeast
Registry dates
- Enumerated
- 2007-02-02
- 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.