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VACCINE DEPOT
NPI 1023451044
Clinic/Center - Public Health, State or Local in Portland, OR

Active since April 09, 2013
619 NW 6TH AVE, PORTLAND, OR 97209(503) 988-7468(503) 988-3015 Get Directions Write a Review

NPPES record last updated: May 18, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 18, 2024, Mar 13, 2019 (2 updates tracked since 2019).

About Vaccine Depot NPPES

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

VACCINE DEPOT (NPI 1023451044) is a healthcare organization registered as a public health, state or local in Portland, Oregon and active in the NPI registry since April 2013. The organization lists Derrick Moten, Interim Business Services Director, as its authorized official.

NPPES Registry Identity

NPI1023451044
Entity TypeOrganization
Primary Taxonomy261QP0905X
Legal Business NameMULTNOMAH COUNTY
Location Address619 NW 6TH AVEPortland, OR 97209-3964
Mailing Address619 Nw 6th AvePortland, OR 97209-3964 · (503) 988-7468 · Fax (503) 988-3015
Phone(503) 988-7468
Fax(503) 988-3015
Organization SubpartNo
Authorized OfficialDerrick MotenInterim Business Services Director · (503) 988-2966
Enumeration DateApril 9, 2013
Last NPPES UpdateMay 18, 20242 updates tracked since enumeration
NPPES CertifiedMay 18, 2024
✔ NPI 1023451044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Public Health, State or LocalAmbulatory Health Care Facilities
Taxonomy Code261QP0905X
619 NW 6TH AVE, Portland, OR 97209
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Other Names 1

Doing Business AsVaccine Depot

Other Identifiers 2

Medicaid022959OR
Medicaid096511OR

Other Providers at the Same Location NPPES 20

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

DR. RENATA A ACKERMANN PHD
Psychologist (Clinical)
619 NW 6TH AVE
PORTLAND, OR 97209
Multnomah County (503) 988-3700
MULTNOMAH COUNTY
Case Management
619 NW 6TH AVE
PORTLAND, OR 97209
Multnomah County (503) 988-3666
MULTNOMAH COUNTY
Clinic/Center (Federally Qualified Health Center (FQHC))
619 NW 6TH AVE, 7TH FL
PORTLAND, OR 97209
Multnomah County (503) 988-7468
ERIN C BROCHU
Social Worker (Clinical)
619 NW 6TH AVE
PORTLAND, OR 97209
Multnomah County (971) 300-9952
JUDITH C BECHER MD
Internal Medicine
619 NW 6TH AVE
PORTLAND, OR 97209
Multnomah County (503) 988-7468
YOSELIN AGUIRRE
Student in an Organized Health Care Education/Training Program
619 NW 6TH AVE
PORTLAND, OR 97209
Multnomah County (503) 988-5020
MULTNOMAH COUNTY
Clinic/Center (Federally Qualified Health Center (FQHC))
619 NW 6TH AVE, 7TH
PORTLAND, OR 97209
Multnomah County (503) 988-7468
EMILY R BORKE LCSW
Social Worker (Clinical)
619 NW 6TH AVE
PORTLAND, OR 97209
Multnomah County (503) 988-5020

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 1023451044. It was assigned to this organization in the NPPES registry on April 9, 2013. The provider is doing business as Vaccine Depot.

Where is Multnomah County located?

Multnomah County is located at 619 NW 6th Ave, Portland, OR 97209. The listed phone number is (503) 988-7468.

What is Multnomah County's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Public Health, State or Local, with taxonomy code 261QP0905X.

When was this NPI record last updated?

The NPPES record for Multnomah County was last updated on May 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.