Vaccine Depot

LBN: Multnomah County
Vaccine Depot is an health care organization with primary practice located at 619 Nw 6Th Ave , Portland OR 97209-3964. The organization recently has only one registered license in Ambulatory Health Care Facilities / Public Health, State or Local, which is considered as the primary health care specialty. Multnomah County can be contacted via phone (503) 988-7468, or through Moten, Derrick via phone (503) 988-2966.

Contact Information

Primary practice address
619 Nw 6Th Ave Portland OR 97209-3964
Phone: (503) 988-7468
Fax: (503) 988-3015
Website:
Map and Directions
Authorized official contact:
Name: Moten, Derrick
Phone: (503) 988-2966

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Public Health, State or Local 261QP0905X

Profile Details

NPI number 1023451044
LBN Legal business name Multnomah County
DBA Doing business as Vaccine Depot
Authorized official Moten, Derrick
Entity Organization
Organization subpart 1 No
Enumeration date Apr 9th, 2013
Last updated May 18th, 2024 - about 4 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 1023451044 NPPES
Oregon MEDICAID 022959
Oregon MEDICAID 096511

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