Organization · Type 2 NPI

Mulnomah County

Dental Clinic/Center · Portland, OR

NPI number 1083384747 Active

Practice location

1401 NE 68th Ave
Portland, OR 97213-4957

Call (503) 988-5033 Map

Mailing address

619 NW 6th Ave Fl 5
Portland, OR 97209-3964

Specialties and licenses

Taxonomy	Code	License
Dental Clinic/Center Primary	261QD0000X	None listed

Dental Clinic/Center: Definition to come...

28 other providers at this address

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NPI record

NPI: 1083384747
Entity type: Organization (Type 2)
Issued: Sep 15, 2021
Last updated: Aug 28, 2026
Status: Active
Subpart: Yes of Multnomah County

Other names

<unavail>
Multnomah County Donald E Long Dental · doing business as
Multnomah County Donald E Long Dental · doing business as

Authorized official

Antoinette Payne
Business Services Director
(971) 325-6412

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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 1083384747

Mulnomah County's National Provider Identifier is 1083384747, issued on Sep 15, 2021. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Portland, OR. The record was last updated on Aug 28, 2026.