MULNOMAH COUNTY NPI 1821757527

NPI Information

  • NPI: 1821757527
  • Provider Name: MULNOMAH COUNTY
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Doing Business As: MC REYNOLDS DENTAL
  • Address: 1698 SW CHERRY PARK RD
    TROUTDALE, OR
    ZIP 97060
  • Phone: (503) 988-3340

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NPI Details

MULNOMAH COUNTY is a federally qualified health center (fqhc) clinic center in Troutdale, OR. MULNOMAH COUNTY NPI is 1821757527. The provider is registered as an organization entity type.
The provider Is Doing Business As Mc Reynolds Dental.

The provider's business location address is:

1698 SW CHERRY PARK RD
TROUTDALE, OR
ZIP 97060-481
Phone: (503) 988-3340

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 12/10/2021 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
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
122959MEDICAIDOREGON

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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