OrganizationActive
Mulnomah County
NPI 1821757527 · Federally Qualified Health Center (FQHC) · Troutdale, OR
Provider details
- NPI number
- 1821757527
- 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
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
1698 Sw Cherry Park Rd
Troutdale, OR 97060-1481
Phone: (503) 988-3340
Street-level locationGet directions
Mailing address
619 Sw 6th Ave.
Portland, OR 97209
Other names (DBA / former)
- Doing business as
- Mc Reynolds Dental
- Doing business as
- Mc Reynolds Dental
Registry dates
- Enumerated
- 2021-12-10
- 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.