MULTNOMAH COUNTY HEALTH DEPARTMENT
NPI 1174763494
Clinic/Center - Federally Qualified Health Center (FQHC) in Portland, OR

Active since February 26, 2009
12003 NE SHAVER ST, PORTLAND, OR 97220(503) 988-3392(503) 988-3580 Get Directions Write a Review

NPPES record last updated: May 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

About Multnomah County Health Department NPPES

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

MULTNOMAH COUNTY HEALTH DEPARTMENT (NPI 1174763494) is a healthcare organization registered as a federally qualified health center (fqhc) in Portland, Oregon and active in the NPI registry since February 2009. The organization lists Derrick Moten, Interim Business Services Director, as its authorized official.

NPPES Registry Identity

NPI1174763494
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameMULTNOMAH COUNTY
Location Address12003 NE SHAVER STPortland, OR 97220-1494
Mailing Address619 Nw 6th Ave Ste 500Portland, OR 97209-3964 · (503) 988-7468 · Fax (503) 988-3015
Fax(503) 988-3580
Organization SubpartYesParent: County Of Multnomah
Authorized OfficialDerrick MotenInterim Business Services Director · (503) 988-2966
Enumeration DateFebruary 26, 2009
Last NPPES UpdateMay 18, 20243 updates tracked since enumeration
NPPES CertifiedMay 18, 2024
NPI 1174763494 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
12003 NE SHAVER ST, Portland, OR 97220

Other Names 1

Doing Business AsMultnomah County Health Department

Other Identifiers 1

Medicaid022959OR

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 1174763494. It was assigned to this organization in the NPPES registry on February 26, 2009. The provider is doing business as Multnomah County Health Department.

Where is Multnomah County located?

Multnomah County is located at 12003 NE Shaver St, Portland, OR 97220. The listed phone number is (503) 988-3392.

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.