Multnomah County | |
3653 Se 34th Ave Portland OR 97202-3034 | |
(503) 988-3663 | |
Not Available |
Full Name | Multnomah County |
---|---|
Speciality | Clinic/center - Public Health, State Or Local |
Location | 3653 Se 34th Ave, Portland, Oregon |
Authorized Official Name and Position | Wendy Lear (BUSINESS SERVICES MANAGER) |
Authorized Official Contact | 5039883663 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Multnomah County 619 Nw 6th Ave Ste 500 Portland OR 97209-3964 Ph: (503) 988-7468 | Multnomah County 3653 Se 34th Ave Portland OR 97202-3034 Ph: (503) 988-3663 |
NPI Number | 1255644332 |
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Provider Enumeration Date | 07/19/2010 |
Last Update Date | 03/15/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255644332 | NPI | - | NPPES |
022959 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Primary |
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