NORTH PORTLAND DENTAL CLINIC
NPI 1174163612
Clinic/Center - Federally Qualified Health Center (FQHC) in Portland, OR
About North Portland Dental Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTH PORTLAND DENTAL CLINIC (NPI 1174163612) is a healthcare organization registered as a federally qualified health center (fqhc) in Portland, Oregon and active in the NPI registry since January 2020. The organization lists Derrick Moten, Interim Business Services Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 1174163612. It was assigned to this organization in the NPPES registry on January 13, 2020. The provider is doing business as North Portland Dental Clinic.
Where is Multnomah County located?
Multnomah County is located at 9000 N Lombard St Fl 2, Portland, OR 97203. The listed phone number is (503) 988-5304.
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.
# North Portland Dental Clinic · NPI 1174163612
Federally Qualified Health Center (FQHC) organization in Portland, Oregon. Organization record, active in the CMS NPPES registry since January 13, 2020.
## Identity
- **NPI:** 1174163612 (Entity type: Organization)
- **Enumerated:** January 13, 2020
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Multnomah County
- **Organization subpart:** Yes (part of Mulnomah County)
- **Authorized official:** Derrick Moten, INTERIM BUSINESS SERVICES DIRECTOR
## Practice location
- **Address:** 9000 N LOMBARD ST FL 2, Portland, OR 97203-3006
- **Phone:** (503) 988-5304
## Record status
- **NPPES last updated:** May 18, 2024
- **Other identifiers:** Medicaid 022959 (OR)
---
Source: [NPI Profile](https://npiprofile.com/npi/1174163612) · Data from the CMS NPPES public registry.