NORTHEAST DENTAL CLINIC
NPI 1336640960
Clinic/Center - Federally Qualified Health Center (FQHC) in Portland, OR
About Northeast Dental Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTHEAST DENTAL CLINIC (NPI 1336640960) 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 Derrick Moten, Interim Business Services Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
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.
PORTLAND, OR 97211
PORTLAND, OR 97211
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 1336640960. It was assigned to this organization in the NPPES registry on February 28, 2018. The provider is doing business as Northeast Dental Clinic.
Where is Multnomah County located?
Multnomah County is located at 5329 NE Mlk Jr Blvd, Portland, OR 97211. The listed phone number is (503) 988-3664.
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.
