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MULTNOMAH COUNTY HEALTH DEPARTMENT, DAVID DOUGLAS
NPI 1063725141
Clinic/Center - Primary Care in Portland, OR

Active since July 19, 2010CLIA 38D2278902 · Waiver
1034 SE 130TH AVENUE, PORTLAND, OR 97233(503) 988-3554(503) 988-4225 Get Directions Write a Review

NPPES record last updated: May 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

About Multnomah County Health Department, David Douglas NPPES

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

MULTNOMAH COUNTY HEALTH DEPARTMENT, DAVID DOUGLAS (NPI 1063725141) is a healthcare organization registered as a primary care in Portland, Oregon and active in the NPI registry since July 2010. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Derrick Moten, Interim Business Services Manager, as its authorized official.

NPPES Registry Identity

NPI1063725141
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMULTNOMAH COUNTY
Location Address1034 SE 130TH AVENUEPortland, OR 97233
Mailing Address619 Nw 6th Ave Ste 500Portland, OR 97209-3964 · (503) 988-7468 · Fax (503) 988-4098
Phone(503) 988-3554
Fax(503) 988-4225
Organization SubpartNo
Authorized OfficialDerrick MotenInterim Business Services Manager · (503) 988-2966
Enumeration DateJuly 19, 2010
Last NPPES UpdateMay 18, 20243 updates tracked since enumeration
NPPES CertifiedMay 18, 2024
✔ NPI 1063725141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1034 SE 130TH AVENUE, Portland, OR 97233
Open in Google Maps ↗

Other Names 1

Doing Business AsMultnomah County Health Department, David Douglas

Other Identifiers 1

Medicaid022959OR

CLIA Laboratory Certificates CMS CLIA

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 38D2278902

Multnomah County Health Department Mobile Clinic · Portland, OR
Active · expires Mar 26, 2027
CLIA Number38D2278902
Laboratory TypeMobile Laboratory
Certificate Effective DateMarch 27, 2025
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorMatthew R. Hoffman
Laboratory Phone(971) 288-9011
Laboratory LocationMultnomah County Health Department Mobile Clinic1620 SE 190th, Portland, OR 97233
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 1063725141. It was assigned to this organization in the NPPES registry on July 19, 2010. The provider is doing business as Multnomah County Health Department, David Douglas.

Where is Multnomah County located?

Multnomah County is located at 1034 SE 130th Avenue, Portland, OR 97233. The listed phone number is (503) 988-3554.

What is Multnomah County's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Multnomah County hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2278902) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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.