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MC MOBILE DENTAL
NPI 1073221966
Clinic/Center - Federally Qualified Health Center (FQHC) in Portland, OR

Active since November 09, 2022
619 NW 6TH AVE, 7TH FL, PORTLAND, OR 97209(503) 988-7468 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, Nov 9, 2022 (2 updates tracked since 2022).

About Mc Mobile Dental NPPES

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

MC MOBILE DENTAL (NPI 1073221966) is a healthcare organization registered as a federally qualified health center (fqhc) in Portland, Oregon and active in the NPI registry since November 2022. The organization lists Derrick Moten, Interim Business Services Director, as its authorized official.

NPPES Registry Identity

NPI1073221966
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameMULTNOMAH COUNTY
Location Address619 NW 6TH AVE, 7TH FLPortland, OR 97209
Mailing Address619 Nw 6th Ave, 5th FlPortland, OR 97209 · (503) 988-7468
Phone(503) 988-7468
Organization SubpartNo
Authorized OfficialDerrick MotenInterim Business Services Director · (503) 988-2966
Enumeration DateNovember 9, 2022
Last NPPES UpdateMay 18, 20242 updates tracked since enumeration
NPPES CertifiedMay 18, 2024
✔ NPI 1073221966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
619 NW 6TH AVE, Portland, OR 97209
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Other Names 1

Doing Business AsMc Mobile Dental

Other Identifiers 1

Medicaid022959OR

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.

MULTNOMAH COUNTY
Clinic/Center (Public Health, State or Local)
619 NW 6TH AVE
PORTLAND, OR 97209
Multnomah County (503) 988-7468
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
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 1073221966. It was assigned to this organization in the NPPES registry on November 9, 2022. The provider is doing business as Mc Mobile Dental.

Where is Multnomah County located?

Multnomah County is located at 619 NW 6th Ave 7th Fl, 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 Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

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.