Organization · Type 2 NPI

Multnomah County

Dental Clinic/Center · Portland, OR

NPI number 1750933917 Active

Practice location

11540 NE Inverness Dr., Inverness Jail
Portland, OR 97220

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

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NPI record

NPI: 1750933917
Entity type: Organization (Type 2)
Issued: Jul 9, 2019
Last updated: Aug 28, 2026
Status: Active
Subpart: Yes of Mulnomah County

Other names

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Multnomah County Inverness Dental · doing business as
Multnomah County Inverness 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 1750933917

Multnomah County's National Provider Identifier is 1750933917, issued on Jul 9, 2019. 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.