Multnomah County
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
5329 NE Mlk Jr BlvdPortland, OR 97211-3237
Phone: (503) 988-3664
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
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 number | 1336640960 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Multnomah County |
| Authorized official | Derrick Moten — Interim Business Services Director · (503) 988-2966 |
| Other names | Northeast Dental Clinic |
| NPI enumerated | February 28, 2018 |
| Last updated in NPPES | May 18, 2024 |
| Certification date | May 18, 2024 |
| Mailing address | 619 Nw 6th Ave, Portland, OR 97209-3964 |
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-
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-
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-
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-
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-
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