Multnomah County Health Department | |
10000 N Burr Ave Portland OR 97203-1714 | |
(503) 988-3829 | |
Not Available |
Full Name | Multnomah County Health Department |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 10000 N Burr Ave, Portland, Oregon |
Authorized Official Name and Position | Derrick Moten (INTERIM BUSINESS SERVICES DIRECTOR) |
Authorized Official Contact | 5039882966 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Multnomah County Health Department 619 Nw 6th Ave Ste 500 Portland OR 97209-3964 Ph: (503) 988-7468 | Multnomah County Health Department 10000 N Burr Ave Portland OR 97203-1714 Ph: (503) 988-3829 |
NPI Number | 1548400922 |
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Provider Enumeration Date | 02/25/2009 |
Last Update Date | 05/18/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548400922 | NPI | - | NPPES |
022959 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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