Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MULTNOMAH COUNTY
NPI 1083115612
Clinic/Center - Federally Qualified Health Center (FQHC) in Portland, OR

Active since February 28, 2018
12710 SE DIVISION ST, PORTLAND, OR 97236(503) 988-3410 Get Directions Write a Review

NPPES record last updated: August 28, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 28, 2026, May 18, 2024, Mar 16, 2019 and 1 more (4 updates tracked since 2018).

About Multnomah County NPPES

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

MULTNOMAH COUNTY (NPI 1083115612), doing business as Mid County Dental Clinic, is a healthcare organization registered as a federally qualified health center (fqhc) in Portland, Oregon and active in the NPI registry since February 2018. The organization lists Antoinette Payne, Business Services Director, as its authorized official.

NPPES Registry Identity

NPI1083115612
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameMULTNOMAH COUNTY
Location Address12710 SE DIVISION STPortland, OR 97236-3134
Mailing Address619 Nw 6th Ave Ste 500Portland, OR 97209-3964 · (503) 988-7468
Organization SubpartYesParent: Mulnomah County
Authorized OfficialAntoinette PayneBusiness Services Director · (971) 325-6412
Enumeration DateFebruary 28, 2018
Last NPPES UpdateAugust 28, 20264 updates tracked since enumeration
NPPES CertifiedAugust 28, 2026
NPI 1083115612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedClinic/Center · DentalTaxonomy 261QD0000X
12710 SE DIVISION ST, Portland, OR 97236

Other Names 1

Doing Business AsMid County Dental Clinic

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.

Dentist (General Practice)
12710 SE DIVISION ST
PORTLAND, OR 97236
Dentist
12710 SE DIVISION ST
PORTLAND, OR 97236
Social Worker (Clinical)
12710 SE DIVISION ST
PORTLAND, OR 97236
Dentist (General Practice)
12710 SE DIVISION ST
PORTLAND, OR 97236
Physician Assistant (Medical)
12710 SE DIVISION ST
PORTLAND, OR 97236
Nurse Practitioner (Family)
12710 SE DIVISION ST
PORTLAND, OR 97236
Dentist
12710 SE DIVISION ST
PORTLAND, OR 97236
Dentist (General Practice)
12710 SE DIVISION ST
PORTLAND, OR 97236

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 1083115612. It was assigned to this organization in the NPPES registry on February 28, 2018. The provider is doing business as Mid County Dental Clinic.

Where is Multnomah County located?

Multnomah County is located at 12710 SE Division St, Portland, OR 97236. The listed phone number is (503) 988-3410.

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 August 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.