MULTNOMAH COUNTY (NPI# 1336640960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336640960 |
| Entity Type | Organization |
| Organization Name | MULTNOMAH COUNTY |
| Other Organization Name | NORTHEAST DENTAL CLINIC |
| Practice Address |
5329 Ne Mlk Jr Blvd Portland OR 97211-3237 |
| Mailing Address |
619 Nw 6th Ave Portland OR 97209-3964 |
| Practice Telephone | 5039883664 |
| Mailing Telephone | 5039887468 |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2019-03-13 |
| 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 |
|---|---|
| Northeast 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 |
5329 NE MLK JR BLVD |
| City | PORTLAND |
| State | OR |
| Zip Code | 97211-3237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427196500 | Multnomah County | Clinic/Center | 5329 Ne Mlk Jr Blvd, Portland, OR 97211-3237 | 2007-02-02 |
| 1700403177 | Sarn Tsio Saechao | Pharmacy Technician | 5329 Ne Mlk Jr Blvd, Portland, OR 97211-3237 | 2020-07-01 |
| 1851918379 | Rolando Quinones | Pharmacy Technician | 5329 Ne Mlk Jr Blvd, Portland, OR 97211-3237 | 2020-06-30 |
| 1073081246 | Fetuao Turner | Pharmacist | 5329 Ne Mlk Jr Blvd, Second Floor/pharmacy, Portland, OR 97211 | 2018-11-06 |
| 1386049310 | Donald Ross Hart | Nurse Practitioner | 5329 Ne Mlk Jr Blvd, Portland, OR 97211-3237 | 2014-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386104586 | Rachel Joy Kendall | Counselor | 5257 Nw Martin Luther King Jr. Blvd, 202e, Portland, OR 97211 | 2019-03-22 |
| 1073014601 | Kelli Minton | Behavior Technician | 7035 Ne 9th Ave, Portland, OR 97211 | 2018-02-28 |
| 1083145726 | Warren H Baumann | Registered Nurse | 854 Ne Simpson St, Portland, OR 97211 | 2017-03-24 |
| 1407277411 | Regina Barnett | Case Manager/Care Coordinator | 509 Ne Alberta St., Portland, OR 97211 | 2013-12-17 |
| 1578905964 | Carmel Therese Irving | Social Worker | 5912 Ne 16th Ave, Portland, OR 97211 | 2013-07-25 |
| 1629310990 | Lisa Peacock | Counselor | 4433 Ne 35 Place, Portland, OR 97211 | 2013-03-25 |
| 1285907915 | Michele Karen Koder | Pharmacist | 3529 Ne Martin Luther King, Jr. Blvd., Portland, OR 97211 | 2012-02-10 |
| 1629368196 | Alexis Miranda Barker | Massage Therapist | 4929 Ne 30th Ave, Zen Space Healing, Portland, OR 97211 | 2011-04-18 |
| 1396041760 | Kara Ann Fuerst | Specialist | 3325 Ne Prescott, Portland, OR 97211 | 2011-02-02 |
| 1063746337 | Laura K Elvers | Pharmacist | 6116 Ne Mlk, Portland, OR 97211 | 2009-09-18 |
| Find all providers in zip 97211 | ||||
| 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.