MULTNOMAH COUNTY


Address: 619 Nw 6th Ave, Portland, OR 97209-3964
Phone: 5039887468

MULTNOMAH COUNTY (NPI# 1023451044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023451044
Entity Type Organization
Organization Name MULTNOMAH COUNTY
Other Organization Name VACCINE DEPOT
Practice Address 619 Nw 6th Ave
Portland
OR 97209-3964
Practice Telephone 5039887468
Practice Fax Number 5039883015
Mailing Telephone 5039887468
Mailing Fax Number 5039883015
Enumeration Date 2013-04-09
Last Update Date 2019-03-13
Authorized Official Name WENDY LEAR (BUSINESS SERVICES DIRECTOR)
Authorized Official Telephone 5039883663
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP0905X Clinic/Center
Specialization: Public Health, State or Local
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
OR 022959 05
OR 096511 05

Other Provider/Organization Names

Other Name Type Code
Vaccine Depot Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1750933917 Multnomah County Clinic/Center 11540 Ne Inverness Dr., Inverness Jail, Portland, OR 97220 2019-07-09
1649674862 Multnomah County Clinic/Center 330 Se 11th Ave, Portland, OR 97214-1317 2014-10-17
1912322074 Multnomah County Clinic/Center 3505 Se 182nd Ave, Gresham, OR 97030-5028 2014-02-26
1063725141 Multnomah County Clinic/Center 1034 Se 130th Avenue, Portland, OR 97233 2010-07-19
1346480662 Multnomah County Clinic/Center 6941 N Central St, Portland, OR 97203-6203 2009-02-26
1174763494 Multnomah County Clinic/Center 12003 Ne Shaver St, Portland, OR 97220-1494 2009-02-26
1619117934 Multnomah County Clinic/Center 5103 N Willis Blvd, Portland, OR 97203-3464 2009-02-26
1548400922 Multnomah County Clinic/Center 10000 N Burr Ave, Portland, OR 97203-1714 2009-02-25
1730329111 Multnomah County Clinic/Center 3400 Se 26th Ave, Portland, OR 97202-2130 2009-02-25
1588804975 Multnomah County Clinic/Center 3905 Se 91st Ave, Portland, OR 97266-2815 2009-02-25

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities MULTNOMAH COUNTY 501 Se Hawthorne Blvd Ste 531, Portland, OR 97214-3587
Oregon Corporations, Companies and Business Names MULTNOMAH COUNTY 4-H ASSOCIATION Osu Extension4h, 3880 Se 8th Ave, Portland, OR 97201
Oregon Corporations, Companies and Business Names MULTNOMAH COUNTY CORRECTIONS DEPUTIES ASSOCIATION 9221 Sw Barbur Blvd Ste 301, Portland, OR 97219
Oregon Corporations, Companies and Business Names MULTNOMAH COUNTY DROP-BOX SERVICES, INC. 8145 Ne Nicholas Ct, Hillsboro, OR 97124
Oregon Corporations, Companies and Business Names MULTNOMAH COUNTY EMPLOYEES UNION LOCAL 88 6025 E Burnside St, Portland, OR 97215
Oregon Corporations, Companies and Business Names MULTNOMAH COUNTY FARM BUREAU 2000 Se Wilson Rd, Wood Village, OR 97060
Oregon Corporations, Companies and Business Names MULTNOMAH COUNTY HISTORICAL SOCIETY 1200 Sw Park Avenue, Portland, OR 97205
Oregon Corporations, Companies and Business Names MULTNOMAH COUNTY MASTER GARDENERS ASSOCIATION 200 Warner-milne Rd, Oregon City, OR 97045
Oregon Corporations, Companies and Business Names MULTNOMAH COUNTY MEDICAL SOCIETY 7805 Sw 40th Ave, Portland, OR 97219
Oregon Corporations, Companies and Business Names MULTNOMAH COUNTY PROSECUTING ATTORNEY'S ASSOCIATION 1021 Sw 4th Ave, Room 600, Portland, OR 97204

Office Location

Street Address 619 NW 6TH AVE
City PORTLAND
State OR
Zip Code 97209-3964

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093874356 Erin C Brochu Counselor 619 Nw 6th Ave, Portland, OR 97209-3964 2006-12-06
1700494580 Christine Belile Clinical Medical Laboratory 619 Nw 6th Ave, Portland, OR 97209-3964 2020-07-17
1780201426 Tim Richard Criswell Pharmacy Technician 619 Nw 6th Ave, Portland, OR 97209-3964 2020-06-29
1902423635 Sheng Kimberly Yang Pharmacy Technician 619 Nw 6th Ave, Portland, OR 97209-3964 2020-06-29
1568089290 Rebecca Puls Pharmacy Technician 619 Nw 6th Ave, Portland, OR 97209-3964 2020-06-29
1790323947 Erica Harris Nurse Practitioner 619 Nw 6th Ave, Portland, OR 97209-3964 2019-12-18
1508388497 Multnomah County Clinic/Center 619 Nw 6th Ave, Portland, OR 97209-3964 2017-07-12
1639534969 Multnomah County Clinic/Center 619 Nw 6th Ave, Portland, OR 97209-3964 2015-12-31
1215373048 Emily R Borke Social Worker 619 Nw 6th Ave, Portland, OR 97209-3964 2013-05-20
1982992954 Multnomah County Clinic/Center 619 Nw 6th Ave, Portland, OR 97209-3964 2011-07-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508476250 Harrington Health Clinic Nurse Practitioner 310 Nw Glisan Street, Portland, OR 97209 2020-08-07
1619599636 Rivers Way Training Clinic Community/Behavioral Health 2049 Nw Hoyt, Portland, OR 97209 2020-05-13
1518590538 Julie Kay Igarta Registered Nurse 140 Northwest 14th Avenue, Portland, OR 97209 2020-02-18
1407492002 Oregon Injection Clinic Clinic/Center 1500 Nw Lovejoy, 106, Portland, OR 97209 2019-11-19
1487202883 Ann Tesora Massage Therapist 1320 Northwest 20th Avenue, Portland, OR 97209 2019-08-28
1972160455 Vincent Martin Massage Therapist 210 Sw 17th Avenue, Portland, OR 97209 2019-05-21
1154896546 Jennifer Marie Dodd Social Worker 1722 Nw Raleigh St Spc 412, Portland, OR 97209 2018-10-11
1922551910 Ashley Crowell Physician Assistant 949 Nw Overton St Unit 306, Portland, OR 97209 2016-07-26
1326408394 Jennifer Blain Counselor 324 Nw Davis, Portland, OR 97209 2016-03-03
1275993255 Lauren Dodson Licensed Practical Nurse 324 Nw Davis St, Portland, OR 97209 2016-03-03
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Taxonomy Information

Taxonomy Code 261QP0905X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Public Health, State or Local

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487896080 City of Portland Maine Clinic/Center 166 Brackett St, Portland, ME 04102-3825 2009-03-27
1881719763 City of Portland Maine Clinic/Center 103 India St, Portland, ME 04101-4211 2007-03-20
1427196500 Multnomah County Clinic/Center 5329 Ne Mlk Jr Blvd, Portland, OR 97211-3237 2007-02-02
1508904681 Multnomah County Clinic/Center 6736 Ne Killingsworth St, Portland, OR 97218-3338 2007-02-02
1376900399 Multnomah County Clinic/Center 12425 Ne Glisan St, Portland, OR 97230-2144 2016-01-21
1417357443 Multnomah County Clinic/Center 209 Sw 4th Ave, Portland, OR 97204-1813 2014-08-27
1881908291 City of Portland Maine Clinic/Center 103 India St, Portland, ME 04101-4211 2010-07-28
1255644332 Multnomah County Clinic/Center 3653 Se 34th Ave, Portland, OR 97202-3034 2010-07-19
1053631747 Multnomah County Clinic/Center 619 Nw 6th Ave, Portland, OR 97209-3964 2010-06-04
1477796423 Multnomah County Clinic/Center 619 Nw 6th Ave, Portland, OR 97209-3964 2009-04-07
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Competitor

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City PORTLAND
Zip Code 97209

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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