1. Home
  2. Directory
  3. Oregon
  4. Portland
  5. Clinic Center
  6. NPI Profile

MULTNOMAH COUNTY
NPI 1013141241
Clinic/Center - Prison Health in Portland, OR

Active since May 01, 2009CLIA Certified · 3 labs
11540 NE INVERNESS DR, INVERNESS JAIL, PORTLAND, OR 97220(503) 988-5033 Get Directions Write a Review

NPPES record last updated: May 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 18, 2024, Mar 18, 2019, Nov 16, 2017 (3 updates tracked since 2017).

About Multnomah County NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MULTNOMAH COUNTY (NPI 1013141241) is a healthcare organization registered as a prison health in Portland, Oregon and active in the NPI registry since May 2009. The organization holds 3 active CLIA laboratory certificates and lists Derrick Moten, Interim Business Servics Manager, as its authorized official.

NPPES Registry Identity

NPI1013141241
Entity TypeOrganization
Primary Taxonomy261QP2400X
Legal Business NameMULTNOMAH COUNTY
Location Address11540 NE INVERNESS DR, INVERNESS JAILPortland, OR 97220-9002
Mailing Address619 Nw 6th Ave Ste 500Portland, OR 97209-3964 · (503) 988-7468 · Fax (503) 988-3015
Phone(503) 988-5033
Organization SubpartYesParent: County Of Multnomah
Authorized OfficialDerrick MotenInterim Business Servics Manager · (503) 988-2966
Enumeration DateMay 1, 2009
Last NPPES UpdateMay 18, 20243 updates tracked since enumeration
NPPES CertifiedMay 18, 2024
✔ NPI 1013141241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Prison HealthAmbulatory Health Care Facilities
Taxonomy Code261QP2400X
11540 NE INVERNESS DR, Portland, OR 97220
Open in Google Maps ↗

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D0662407

Multnomah County Health Department-Student Health · Portland, OR
Active · expires Apr 1, 2028
CLIA Number38D0662407
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateApril 2, 2026
Certificate Expiration DateApril 1, 2028
Laboratory DirectorMatthew R. Hoffman
Laboratory Phone(971) 288-9011
Laboratory LocationMultnomah County Health Department-Student Health12003 NE Shaver St, Portland, OR 97220
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 38D0874568

Multnomah County Health Department Sti Clinic · Portland, OR
Active · expires Feb 26, 2027
CLIA Number38D0874568
Laboratory TypeCommunity Clinic
Certificate Effective DateFebruary 27, 2025
Certificate Expiration DateFebruary 26, 2027
Laboratory DirectorLu Zhengchun
Laboratory Phone(503) 988-3700
Laboratory LocationMultnomah County Health Department Sti Clinic619 NW 6th Avenue, 2nd Floor Sti Clinic, Portland, OR 97209
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 38D2122467

Multnomah County Wic Program · Portland, OR
Active · expires Nov 28, 2026
CLIA Number38D2122467
Laboratory TypePublic Health Laboratories
Certificate Effective DateNovember 29, 2024
Certificate Expiration DateNovember 28, 2026
Laboratory DirectorVeronica Lopez Ericksen
Laboratory Phone(503) 988-2541
Laboratory LocationMultnomah County Wic Program131 NE 102nd Ave Building 1, Portland, OR 97220
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HEATHER ALICE NATIONS DMD
Dentist (General Practice)
11540 NE INVERNESS DR
PORTLAND, OR 97220
Multnomah County (503) 988-5033
MULTNOMAH COUNTY INVERNESS JAIL PHARMACY
Clinic/Center (Prison Health)
11540 NE INVERNESS DR
PORTLAND, OR 97220
Multnomah County (503) 988-4134

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Multnomah County's NPI number?

The NPI number for Multnomah County is 1013141241. It was assigned to this organization in the NPPES registry on May 1, 2009.

Where is Multnomah County located?

Multnomah County is located at 11540 NE Inverness Dr Inverness Jail, Portland, OR 97220. The listed phone number is (503) 988-5033.

What is Multnomah County's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Prison Health, with taxonomy code 261QP2400X.

Does Multnomah County hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Multnomah County was last updated on May 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.