Multnomah County School Oral Health

LBN: Mulnomah County
Multnomah County School Oral Health is an health care organization with primary practice located at 3505 Se 182Nd Ave , Gresham OR 97030-5028. The organization recently has only one registered license in Dental Providers / Dental Public Health, which is considered as the primary health care specialty. Mulnomah County can be contacted via phone (503) 988-5488, or through Moten, Derrick via phone (503) 988-2966.

Contact Information

Primary practice address
3505 Se 182Nd Ave Gresham OR 97030-5028
Phone: (503) 988-5488
Fax: (503) 988-5484
Website:
Map and Directions
Authorized official contact:
Name: Moten, Derrick
Phone: (503) 988-2966

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Public Health 1223D0001X Oregon

Profile Details

NPI number 1609369594
LBN Legal business name Mulnomah County
DBA Doing business as Multnomah County School Oral Health
Authorized official Moten, Derrick
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 14th, 2018
Last updated May 18th, 2024 - about 7 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609369594 NPPES
Oregon MEDICAID 022959

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