MULTNOMAH COUNTY NPI 1407418999

NPI Information

  • NPI: 1407418999
  • Provider Name: MULTNOMAH COUNTY
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • CLIA Number: 38D2160121
  • Address: 1120 SW 3RD AVE
    DETENTION CENTER
    PORTLAND, OR
    ZIP 97204
  • Phone: (503) 988-3976

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NPI Details

MULTNOMAH COUNTY is a dental clinic center in Portland, OR. MULTNOMAH COUNTY NPI is 1407418999. The provider is registered as an organization entity type.

The provider's business location address is:

1120 SW 3RD AVE
DETENTION CENTER
PORTLAND, OR
ZIP 97204-828
Phone: (503) 988-3976

The provider's authorized official is Mark D Lewis .
The authorized official title is Finance Manager and has the following contact phone number (503) 988-7462.

The CLIA number assigned to this NPI record is 38D2160121 - other - county jail with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/3/2019 and was last updated on 7/3/2019.

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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