MULTNOMAH COUNTY NPI 1588804975

NPI Information

  • NPI: 1588804975
  • Provider Name: MULTNOMAH COUNTY
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Address: 3905 SE 91ST AVE
    PORTLAND, OR
    ZIP 97266
  • Phone: (503) 988-3370

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NPI Details

MULTNOMAH COUNTY is a federally qualified health center (fqhc) clinic center in Portland, OR. MULTNOMAH COUNTY NPI is 1588804975. The provider is registered as an organization entity type.

The provider's business location address is:

3905 SE 91ST AVE
PORTLAND, OR
ZIP 97266-815
Phone: (503) 988-3370
Fax: (503) 988-3580

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 2/25/2009 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
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)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
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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