Organization · Type 2 NPI

Multnomah County

Primary Care Clinic/Center · Portland, OR

NPI number 1063725141 Active

Practice location

1034 SE 130th Avenue
Portland, OR 97233

Call (503) 988-3554 Map

Fax (503) 988-4225

Mailing address

619 NW 6th Ave Ste 500
Portland, OR 97209-3964

Specialties and licenses

Taxonomy	Code	License
Primary Care Clinic/Center Primary	261QP2300X	None listed

Primary Care Clinic/Center: Definition to come...

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NPI record

NPI: 1063725141
Entity type: Organization (Type 2)
Issued: Jul 19, 2010
Last updated: Aug 28, 2026
Status: Active

Other names

<unavail>
Multnomah County Health Department, David Douglas · doing business as
Multnomah County Health Department, David Douglas · doing business as

Authorized official

Antoinette Payne
Business Services Manager
(971) 325-6412

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1063725141

Multnomah County's National Provider Identifier is 1063725141, issued on Jul 19, 2010. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Portland, OR. The record was last updated on Aug 28, 2026.