MULTNOMAH COUNTY (NPI# 1285136820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285136820 |
| Entity Type | Organization |
| Organization Name | MULTNOMAH COUNTY |
| Other Organization Name | SOUTHEAST DENTAL CLINIC |
| Practice Address |
3653 Se 34th Ave Portland OR 97202-3034 |
| Mailing Address |
619 Nw 6th Ave Ste 210 Portland OR 97209-3964 |
| Practice Telephone | 5039884410 |
| Mailing Telephone | 5039887468 |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2019-03-16 |
| Authorized Official Name | CAMMY GADDIS (FINANCE SPECIALIST) |
| Authorized Official Telephone | 5039887468 |
| Is Organization Subpart | Y |
| Parent Organization Name | MULTNOMAH COUNTY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
OR | Ambulatory Health Care Facilities | |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
OR | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 022959 | 05 |
| Other Name | Type Code |
|---|---|
| Southeast Dental Clinic | Doing Business As Name - Organization |
| 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 |
| 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 |
| Street Address |
3653 SE 34TH AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97202-3034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255425294 | Alicia Joy Plumb | Dentist | 3653 Se 34th Ave, Portland, OR 97202-3034 | 2006-10-03 |
| 1578180212 | Kendal D Cusack | Pharmacist | 3653 Se 34th Ave, Portland, OR 97202-3034 | 2020-06-29 |
| 1598382236 | Astrid Joy Hollensteiner | Pharmacy Technician | 3653 Se 34th Ave, Portland, OR 97202-3034 | 2020-06-29 |
| 1558770149 | Ruth Saunders | Nurse Practitioner | 3653 Se 34th Ave, Portland, OR 97202-3034 | 2014-08-07 |
| 1922424803 | Perla Sabeniano Gilfillan | Dental Hygienist | 3653 Se 34th Ave, Portland, OR 97202-3034 | 2014-03-14 |
| 1396087631 | Multnomah County Oregon | Pharmacy | 3653 Se 34th Ave, Portland, OR 97202-3034 | 2013-03-25 |
| 1881940435 | Diana V. Bokov | Dentist | 3653 Se 34th Ave, Portland, OR 97202-3034 | 2012-08-01 |
| 1447533948 | Margot Strauhull | Counselor | 3653 Se 34th Ave, Portland, OR 97202-3034 | 2011-09-21 |
| 1255644332 | Multnomah County | Clinic/Center | 3653 Se 34th Ave, Portland, OR 97202-3034 | 2010-07-19 |
| 1962636464 | Marc Terry Lejeune | Social Worker | 3653 Se 34th Ave, Portland, OR 97202-3034 | 2009-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073143442 | Carewell LLC | Counselor | Portland River Park Center, 205 Se Spokane St Suite 358, Portland, OR 97202 | 2020-01-24 |
| 1588226765 | Melissa Lynn Hartley | Counselor | 1235 Se Division St. Suite 103, Portland, OR 97202 | 2019-07-08 |
| 1275192999 | Kimberly Rae Kilgore | Counselor | 5509 Se 22nd St #3a, Portland, OR 97202 | 2019-06-06 |
| 1639736069 | Kyra Steinhauer | Social Worker | 3145 Se Powell Blvd, Portland, OR 97202 | 2019-05-21 |
| 1134644321 | Bridgette Hennigsen | Social Worker | 3810 Se 11th Ave, Portland, OR 97202 | 2017-08-08 |
| 1558895789 | Lenore Cangeloso | Acupuncturist | 1235 Se Division Street, Suie 117, Portland, OR 97202 | 2017-04-14 |
| 1376099093 | Anna Christine Leclerc | Contractor | 2024 Se Clinton Street, Zenana Spa and Wellness Center, Portland, OR 97202 | 2016-09-01 |
| 1144684663 | Catholic Charities | Case Management | 2740 Se Powell Blvd., Portland, OR 97202 | 2016-04-11 |
| 1881082097 | Zoomcare Dental, P.C. | Dentist | 3130 Se Division Street, Building 2, Portland, OR 97202 | 2014-12-23 |
| 1124424700 | Jessica Nash | Counselor | 6411 Se 17th Ave, Portland, OR 97202 | 2014-11-10 |
| Find all providers in zip 97202 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679047872 | Portland Community Health Center | Clinic/Center | 52 Frederic St, Portland, ME 04102-2700 | 2019-01-22 |
| 1043783822 | Portland Community Health Center | Clinic/Center | 72 Bishop St, Portland, ME 04102-2957 | 2019-01-04 |
| 1770056558 | Portland Community Health Center | Clinic/Center | 190 Valley Street, Portland, ME 04102-2957 | 2019-01-04 |
| 1427563733 | Central City Concern Inc | Clinic/Center | 1415 Se 122nd Ave, Portland, OR 97233 | 2017-12-08 |
| 1700317971 | Portland Community Health Center | Clinic/Center | 28 Portland St, Portland, ME 04101-2912 | 2017-03-21 |
| 1255872537 | Portland Community Health Center | Clinic/Center | 175 Auburn St, Portland, ME 04103-2131 | 2017-03-20 |
| 1477005619 | Outside In | Clinic/Center | 1226 Sw 12th Ave, Portland, OR 97205-2029 | 2016-11-03 |
| 1649636986 | Mainline Health Systems, Inc | Clinic/Center | 314 Highway 160 E, Portland, AR 71663-9262 | 2015-12-31 |
| 1144691098 | Central City Concern Inc | Clinic/Center | 2566 Ne Hoyt St, Portland, OR 97232-2323 | 2015-10-16 |
| 1295119386 | Central City Concern Inc | Clinic/Center | 12133 E. Burnside St, Portland, OR 97216-2344 | 2015-07-17 |
| Find all providers in PORTLAND | ||||
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| 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.