Organization · Type 2 NPI

Multnomah County

Federally Qualified Health Center (FQHC) · Portland, OR

NPI number 1174763494 Active

Practice location

12003 NE Shaver St
Portland, OR 97220-1494

Call (503) 988-3392 Map

Fax (503) 988-3580

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

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About NPI 1174763494

Multnomah County's National Provider Identifier is 1174763494, issued on Feb 26, 2009. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Portland, OR. The record was last updated on Aug 28, 2026.