| Multnomah County Health Department, Rockwood | |
|
2020 Se 182nd Ave Portland OR 97233-5692 | |
| (503) 988-7462 | |
| (503) 988-4098 |
| Full Name | Multnomah County Health Department, Rockwood |
|---|---|
| Speciality | Clinic/Center |
| Location | 2020 Se 182nd Ave, Portland, Oregon |
| Authorized Official Name and Position | Derrick Moten (INTERIM BUSINESS SERVICES DIRECTOR) |
| Authorized Official Contact | 5039882966 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Multnomah County Health Department, Rockwood 619 Nw 6th Ave Ste 210 Portland OR 97209-3964 Ph: (503) 988-7468 | Multnomah County Health Department, Rockwood 2020 Se 182nd Ave Portland OR 97233-5692 Ph: (503) 988-7462 |
| NPI Number | 1912226325 |
|---|---|
| Provider Enumeration Date | 05/25/2010 |
| Last Update Date | 05/18/2024 |
| Medicare PECOS PAC ID | 6608771787 |
|---|---|
| Medicare Enrollment ID | O20111017000369 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912226325 | 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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