MULTNOMAH COUNTY NPI 1063725141

NPI Information

NPI: 1063725141
Provider Name: MULTNOMAH COUNTY
Classification: Clinic/Center - 261QP2300X
Specialization: Primary Care
Entity Type: Organization
Doing Business As: MULTNOMAH COUNTY HEALTH DEPARTMENT, DAVID DOUGLAS
Address: 1034 SE 130TH AVENUE
PORTLAND, OR
ZIP 97233
Phone: (503) 988-3554

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NPI Details

MULTNOMAH COUNTY is a primary care clinic center in Portland, OR. MULTNOMAH COUNTY NPI is 1063725141. The provider is registered as an organization entity type.
The provider Is Doing Business As Multnomah County Health Department, David Douglas.

The provider's business location address is:

1034 SE 130TH AVENUE
PORTLAND, OR
ZIP 97233
Phone: (503) 988-3554
Fax: (503) 988-4225

The provider's authorized official is Derrick Moten .
The authorized official title is Interim Business Services Manager and has the following contact phone number (503) 988-2966.

The enumeration date for this NPI number is 7/19/2010 and was last updated on 5/18/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	022959	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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