MULNOMAH COUNTY NPI 1083384747

NPI Information

  • NPI: 1083384747
  • Provider Name: MULNOMAH COUNTY
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Doing Business As: MULTNOMAH COUNTY DONALD E LONG DENTAL
  • Address: 1401 NE 68TH AVE
    PORTLAND, OR
    ZIP 97213
  • Phone: (503) 988-5033

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NPI Details

MULNOMAH COUNTY is a dental clinic center in Portland, OR. MULNOMAH COUNTY NPI is 1083384747. The provider is registered as an organization entity type.
The provider Is Doing Business As Multnomah County Donald E Long Dental.

The provider's business location address is:

1401 NE 68TH AVE
PORTLAND, OR
ZIP 97213-957
Phone: (503) 988-5033

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

The enumeration date for this NPI number is 9/15/2021 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
1261QD0000XClinic/CenterDentalYes

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
1022959MEDICAIDOREGON

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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