Organization · Type 2 NPI

Multnomah County

Federally Qualified Health Center (FQHC) · Portland, OR

NPI number 1760626006 Active

Practice location

1401 NE 68th Ave, Juvenile Justice Complex
Portland, OR 97213-4957

Call (503) 988-3663 Map

Fax (503) 988-3510

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

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

28 other providers at this address

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NPI record

NPI: 1760626006
Entity type: Organization (Type 2)
Issued: Apr 30, 2009
Last updated: Aug 28, 2026
Status: Active
Subpart: Yes of County of Multnomah

Other names

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Multnomah County Health Dept./juvenile Justice · doing business as
Multnomah County Health Dept./juvenile Justice · 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 1760626006

Multnomah County's National Provider Identifier is 1760626006, issued on Apr 30, 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.