| Multnomah County Health Dept, Northeast | |
|
5329 Ne Mlk Jr Blvd Portland OR 97211-3237 | |
| (503) 988-7462 | |
| (503) 988-3015 |
| Full Name | Multnomah County Health Dept, Northeast |
|---|---|
| Speciality | Clinic/Center |
| Location | 5329 Ne Mlk Jr Blvd, Portland, Oregon |
| Authorized Official Name and Position | Wendy Lear (BUSINESS SERVICES MANAGER) |
| Authorized Official Contact | 5039887462 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Multnomah County Health Dept, Northeast 619 Nw 6th Ave Ste 500 Portland OR 97209-3964 Ph: (503) 988-7468 | Multnomah County Health Dept, Northeast 5329 Ne Mlk Jr Blvd Portland OR 97211-3237 Ph: (503) 988-7462 |
| NPI Number | 1427196500 |
|---|---|
| Provider Enumeration Date | 02/02/2007 |
| Last Update Date | 02/03/2020 |
| Medicare PECOS PAC ID | 6608771787 |
|---|---|
| Medicare Enrollment ID | O20090414000194 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427196500 | NPI | - | NPPES |
| 022959 | Medicaid | OR | |
| 096511 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Oregon) | Primary |
| 261QP0905X | Clinic/center - Public Health, State Or Local | (Oregon) | Secondary |
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