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MULTNOMAH COUNTY HEALTH DEPT./JUVENILE JUSTICE
NPI 1760626006
Clinic/Center - Federally Qualified Health Center (FQHC) in Portland, OR

Active since April 30, 2009
1401 NE 68TH AVE, JUVENILE JUSTICE COMPLEX, PORTLAND, OR 97213(503) 988-3663(503) 988-3510 Get Directions Write a Review

NPPES record last updated: May 18, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 18, 2024, Mar 16, 2019, Jul 19, 2017 (3 updates tracked since 2017).

About Multnomah County Health Dept./juvenile Justice NPPES

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

MULTNOMAH COUNTY HEALTH DEPT./JUVENILE JUSTICE (NPI 1760626006) is a healthcare organization registered as a federally qualified health center (fqhc) 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

NPI1760626006
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameMULTNOMAH COUNTY
Location Address1401 NE 68TH AVE, JUVENILE JUSTICE COMPLEXPortland, OR 97213-4957
Mailing Address619 Nw 6th Ave Ste 500Portland, OR 97209-3964 · (503) 988-7468 · Fax (503) 988-3015
Phone(503) 988-3663
Fax(503) 988-3510
Organization SubpartYesParent: County Of Multnomah
Authorized OfficialDerrick MotenInterim Business Services Director · (503) 988-2966
Enumeration DateApril 30, 2009
Last NPPES UpdateMay 18, 20243 updates tracked since enumeration
NPPES CertifiedMay 18, 2024
✔ NPI 1760626006 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
1401 NE 68TH AVE, Portland, OR 97213
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Other Names 1

Doing Business AsMultnomah County Health Dept./juvenile Justice

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.

MULNOMAH COUNTY
Clinic/Center (Dental)
1401 NE 68TH AVE
PORTLAND, OR 97213
Multnomah County (503) 988-5033
TRACEY ANN LYNCH-FREEMAN MSW,CSWA
Social Worker
1401 NE 68TH AVE
PORTLAND, OR 97213
Multnomah County (503) 988-3460
ANNE SMITH MA
Counselor
1401 NE 68TH AVE
PORTLAND, OR 97213
Multnomah County (503) 988-4498
ALEXANDRA GASTON
Counselor
1401 NE 68TH AVE
PORTLAND, OR 97213
Multnomah County (503) 988-3460
MS. STACY LYNN STABIL MA,LPC
Counselor
1401 NE 68TH AVE
PORTLAND, OR 97213
Multnomah County (503) 988-3156
JESUS GONZALES
Case Manager/Care Coordinator
1401 NE 68TH AVE
PORTLAND, OR 97213
Multnomah County (503) 988-8984
BRIANNA SARAHI GARCIA
Counselor
1401 NE 68TH AVE
PORTLAND, OR 97213
Multnomah County (971) 219-2068
MS. NANCY ELIZABETH SANDERS
Case Manager/Care Coordinator
1401 NE 68TH AVE, SUITE 2152
PORTLAND, OR 97213
Multnomah County (503) 419-7954

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 1760626006. It was assigned to this organization in the NPPES registry on April 30, 2009. The provider is doing business as Multnomah County Health Dept./Juvenile Justice.

Where is Multnomah County located?

Multnomah County is located at 1401 NE 68th Ave Juvenile Justice Complex, Portland, OR 97213. The listed phone number is (503) 988-3663.

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.