Multnomah County Health Dept, Southeast

LBN: Multnomah County
Multnomah County Health Dept, Southeast is an health care organization with primary practice located at 3653 Se 34Th Ave , Portland OR 97202-3034. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Public Health, State or Local. Ambulatory Health Care Facilities / Public Health, State or Local is the primary health care specialty. Multnomah County can be contacted via phone (503) 988-7462, or through Moten, Derrick via phone (503) 988-2966.

Contact Information

Primary practice address
3653 Se 34Th Ave Portland OR 97202-3034
Phone: (503) 988-7462
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 / Federally Qualified Health Center (FQHC) 261QF0400X Oregon
Ambulatory Health Care Facilities / Public Health, State or Local 261QP0905X Oregon

Profile Details

NPI number 1720126816
LBN Legal business name Multnomah County
DBA Doing business as Multnomah County Health Dept, Southeast
Authorized official Moten, Derrick
Entity Organization
Organization subpart 1 No
Enumeration date Feb 2nd, 2007
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 1720126816 NPPES
Oregon MEDICAID 096511
Oregon MEDICAID 022959

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