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

MULTNOMAH COUNTY HEALTH DEPT -CORRECTIONS HEALTH
NPI 1073757316
Clinic/Center - Prison Health in Portland, OR

Active since April 30, 2009
1120 SW 3RD AVE, DENTENTION CENTER, PORTLAND, OR 97204(503) 988-3976(503) 988-3975 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, Jul 19, 2017 (2 updates tracked since 2017).

About Multnomah County Health Dept -corrections Health NPPES

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

MULTNOMAH COUNTY HEALTH DEPT -CORRECTIONS HEALTH (NPI 1073757316) is a healthcare organization registered as a prison health in Portland, Oregon and active in the NPI registry since April 2009. The organization lists Derrick Moten, Interim Business Services Director, as its authorized official.

NPPES Registry Identity

NPI1073757316
Entity TypeOrganization
Primary Taxonomy261QP2400X
Legal Business NameMULTNOMAH COUNTY
Location Address1120 SW 3RD AVE, DENTENTION CENTERPortland, OR 97204-2801
Mailing Address421 Sw Oak St, Suite 210Portland, OR 97204-1817 · (503) 988-3056 · Fax (503) 988-3015
Phone(503) 988-3976
Fax(503) 988-3975
Organization SubpartYesParent: County Of Multnomah
Authorized OfficialDerrick MotenInterim Business Services Director · (503) 988-2966
Enumeration DateApril 30, 2009
Last NPPES UpdateMay 18, 20242 updates tracked since enumeration
NPPES CertifiedMay 18, 2024
✔ NPI 1073757316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Prison HealthAmbulatory Health Care Facilities
Taxonomy Code261QP2400X
1120 SW 3RD AVE, Portland, OR 97204
Open in Google Maps ↗

Other Names 1

Doing Business AsMultnomah County Health Dept -corrections Health

Other Providers at the Same Location NPPES 8

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

SANDRA J MCALLISTER PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1120 SW 3RD AVE, 4TH FLOOR
PORTLAND, OR 97204
Multnomah County (503) 988-4893
MULTNOMAH COUNTY
Clinic/Center (Dental)
1120 SW 3RD AVE, DETENTION CENTER
PORTLAND, OR 97204
Multnomah County (503) 988-3976
DR. ROBERTA MAIXNER DNP, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1120 SW 3RD AVE
PORTLAND, OR 97204
Multnomah County (503) 988-3689
CHARLOTTE KLINE PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1120 SW 3RD AVE
PORTLAND, OR 97204
Multnomah County (503) 988-3689
DR. CLAY FEDAK PSY.D.
Counselor (Mental Health)
1120 SW 3RD AVE
PORTLAND, OR 97204
Multnomah County (608) 957-6139
DR. MARY ANNA GORDON DNP, RN
Registered Nurse
1120 SW 3RD AVE, 4TH FLOOR MEDICAL
PORTLAND, OR 97204
Multnomah County (503) 988-5897
NATHANAEL LYONS RN
Registered Nurse (Community Health)
1120 SW 3RD AVE
PORTLAND, OR 97204
Multnomah County (503) 988-4084
MS. MELANIE JANE PARKER PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1120 SW 3RD AVE
PORTLAND, OR 97204
Multnomah County (503) 988-4832

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 1073757316. It was assigned to this organization in the NPPES registry on April 30, 2009. The provider is doing business as Multnomah County Health Dept -Corrections Health.

Where is Multnomah County located?

Multnomah County is located at 1120 SW 3rd Ave Dentention Center, Portland, OR 97204. The listed phone number is (503) 988-3976.

What is Multnomah County's specialty?

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

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.