Organization · Type 2 NPI

Mulnomah County

Federally Qualified Health Center (FQHC) · Troutdale, OR

NPI number 1821757527 Active

Practice location

1698 SW Cherry Park Rd
Troutdale, OR 97060-1481

Call (503) 988-3340 Map

Mailing address

619 SW 6th Ave., 5th Fl
Portland, OR 97209

Specialties and licenses

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

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

2 other providers at this address

Multnomah CountyFederally Qualified Health Center (FQHC) Troutdale, OR NPI 1619512035
Blanca Veronica Perez, CHWCommunity Health Worker Troutdale, OR NPI 1003585316

Other federally qualified health center (fqhc) providers in Troutdale

Multnomah CountyFederally Qualified Health Center (FQHC) Troutdale, OR NPI 1619512035

See all in Troutdale →

NPI record

NPI: 1821757527
Entity type: Organization (Type 2)
Issued: Dec 10, 2021
Last updated: Aug 28, 2026
Status: Active

Other names

<unavail>
MC Reynolds Dental · doing business as
MC Reynolds Dental · doing business as

Authorized official

Antoinette Payne
Business Services Director
(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.

Is this your record? How to update it.

About NPI 1821757527

Mulnomah County's National Provider Identifier is 1821757527, issued on Dec 10, 2021. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Troutdale, OR. The record was last updated on Aug 28, 2026.