Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Multnomah County

Organization Dental Clinic/Center · NPI 1083115612

Multnomah County is a Dental Clinic/Center in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2018.

Licensed in
OR
In the registry since
2018
Specialties on file
2

Practice location Address checks out

12710 SE Division St
Portland, OR 97236-3134
Phone: (503) 988-3410
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X (OR)
Dental Clinic/Center Taxonomy 261QD0000X (OR)

Record details

NPI number1083115612
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMulnomah County
Authorized official Derrick Moten — Interim Business Services Director · (503) 988-2966
Other names Mid County Dental Clinic
NPI enumeratedFebruary 28, 2018
Last updated in NPPESMay 18, 2024
Certification dateMay 18, 2024
Mailing address619 Nw 6th Ave Ste 500, Portland, OR 97209-3964

Other providers in Portland