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Multnomah County

Clinic/Center, Federally Qualified Health Center (FQHC) in Portland, OR. Organization (NPI-2).

NPI number1760626006
StatusActive
Last updated in NPPESAug 28, 2026

Details

NPI
1760626006
Entity type
Organization (NPI-2)
Legal business name
Multnomah County
Organization subpart
Yes
Enumeration date
Apr 30, 2009
Certification date
Aug 28, 2026
Last updated
Aug 28, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC)––Yes

Other names

  • Multnomah County Health Dept./Juvenile Justice (Doing Business As)

Practice location

1401 Ne 68th Ave
Juvenile Justice Complex
Portland, OR 97213-4957

Phone 503-988-3663 · Fax 503-988-3510

Mailing address

619 Nw 6th Ave Ste 500
Portland, OR 97209-3964

Phone 503-988-7468 · Fax 503-988-3015

Authorized official

Antoinette Payne
Business Services Director
9713256412

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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