MULTNOMAH COUNTY (NPI# 1538237904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538237904 |
| Entity Type | Organization |
| Organization Name | MULTNOMAH COUNTY |
| Other Organization Name | MULTNOMAH BEHAVIORAL HEALTH |
| Practice Address |
209 Sw 4th Ave Ste 520 Portland OR 97204-1813 |
| Practice Telephone | 5039885464 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2018-07-12 |
| NPI Deactivation Date | 11/05/2015 |
| NPI Reactivation Date | 2018-05-04 |
| Authorized Official Name | DAVID HIDALGO (DIVISION DIRECTOR) |
| Authorized Official Telephone | 5039883076 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | Y |
| Parent Organization Name | MULTNOMAH COUNTY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities | ||
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 111369 | 05 | |
| OR | PROVIDER ID | 165280 | 01 |
| Other Name | Type Code |
|---|---|
| Multnomah Behavioral Health | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 421 Sw Oak St, Suite 520, Portland, OR 972041817 | 5039885464 | 5039885870 |
| 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 |
209 SW 4TH AVE STE 520 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97204-1813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013541911 | Anders Amadeus Kass | Peer Specialist | 209 Sw 4th Ave Ste 520, Portland, OR 97204-1825 | 2020-02-28 |
| 1770121188 | Penelope Lynne Jones | Student in an Organized Health Care Education/Training Program | 209 Sw 4th Ave Ste 520, Portland, OR 97204-1825 | 2019-12-16 |
| 1376190140 | Bruce Michael Spilde | Social Worker | 209 Sw 4th Ave Ste 520, Portland, OR 97204-1825 | 2019-08-26 |
| 1518526961 | Amanda Kubisch | Specialist | 209 Sw 4th Ave Ste 520, Portland, OR 97204-1825 | 2019-06-10 |
| 1275097552 | Dekaira D Smith | Peer Specialist | 209 Sw 4th Ave Ste 520, Portland, OR 97204-1825 | 2019-01-30 |
| 1417435488 | Noura Al-khadher | Case Manager/Care Coordinator | 209 Sw 4th Ave Ste 520, Portland, OR 97204-1825 | 2018-08-01 |
| 1669903944 | Glenda Quezada | Case Manager/Care Coordinator | 209 Sw 4th Ave Ste 520, Portland, OR 97204-1825 | 2017-03-27 |
| 1720419054 | Multnomah County | Community/Behavioral Health | 209 Sw 4th Ave Ste 520, Portland, OR 97204-1813 | 2013-12-12 |
| 1538427257 | Braunwynn Franklin | Peer Specialist | 209 Sw 4th Ave Ste 520, Portland, OR 97204-1825 | 2012-05-01 |
| 1285992628 | Rachael Alexis Jackson | Case Manager/Care Coordinator | 209 Sw 4th Ave Ste 520, Portland, OR 97204-1825 | 2012-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922662352 | Sleep Management, L.L.C. | Respiratory Therapist, Registered | 1050 Sw 6th Avenue, Suite 1100 Office # 52, Portland, OR 97204 | 2019-05-01 |
| 1588178701 | Daniel Hendrickson | Pharmacist | 503 Sw 5th Avenue, Portland, OR 97204 | 2017-11-27 |
| 1790133031 | Modupe Desiree Bansile | Counselor | 209 Sw Fourth Ave, Suite 520, Portland, OR 97204 | 2016-05-26 |
| 1841655834 | Isabella Zaragoza | Counselor | 421 Sw Oak St Suite 520, Portland, OR 97204 | 2015-12-18 |
| 1952737736 | Hessler-cohen Enterprises LLC | Acupuncturist | 310 Sw 4rth Avenue, Suite 725, Portland, OR 97204 | 2013-09-24 |
| 1144583378 | Angela Nicole Johnson | Physical Therapist | 555 Sw Oak Street, Portland, OR 97204 | 2012-06-22 |
| 1255614624 | Jaclyn Rene Jones | Nurse Practitioner | 601 Sw 4th Ave, Portland, OR 97204 | 2011-09-22 |
| 1407148398 | Cristianne Paulsen | Dental Hygienist | 426 Sw Stark, 9th Floor, Portland, OR 97204 | 2011-05-10 |
| 1396928255 | Jessica L Hall | Counselor | 421 Sw Oak Street, Suite 520, Portland, OR 97204 | 2007-12-13 |
| 1699896274 | Julie Anne Oyemaja | Counselor | 421 Sw Oak St., Ste. 210, Portland, OR 97204 | 2007-04-02 |
| Find all providers in zip 97204 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710586821 | Plum Consulting LLC | Community/Behavioral Health | 1161 Nw Overton St Apt 1501, Portland, OR 97209-2549 | 2020-10-20 |
| 1790302677 | Hope for All Community Services LLC | Community/Behavioral Health | 68 Bishop St, Building 1, Unit 1, Portland, ME 04103 | 2020-06-26 |
| 1184247850 | Altoris Behavior Support LLC | Community/Behavioral Health | 3880 Se 8th Ave Ste 105, Portland, OR 97202-3772 | 2020-05-28 |
| 1619599636 | Rivers Way Training Clinic | Community/Behavioral Health | 2049 Nw Hoyt, Portland, OR 97209 | 2020-05-13 |
| 1578102216 | Act Nw | Community/Behavioral Health | 909 Nw 24th Ave, Portland, OR 97210-3009 | 2019-12-28 |
| 1194284349 | Oriel Offit, Clinical Psychologist, LLC | Community/Behavioral Health | 222 Saint John St Ste 227, Portland, ME 04102-3058 | 2019-03-18 |
| 1396210977 | Ask Counseling LLC | Community/Behavioral Health | 8885 Sw Canyon Rd Ste 108, Portland, OR 97225-3431 | 2018-10-10 |
| 1790260313 | Bernard J. Gordon Md Pa LLC | Community/Behavioral Health | 145 Newbury St Fl 1, Portland, ME 04101-4261 | 2018-09-28 |
| 1497235576 | Saturn Supports LLC | Community/Behavioral Health | 3228 Sw Beaverton Hillsdale Hwy Apt 23, Portland, OR 97239-1193 | 2018-08-17 |
| 1770063067 | Nami Multnomah | Community/Behavioral Health | 524 Ne 52nd Ave, Portland, OR 97213-3047 | 2018-08-16 |
| Find all providers in PORTLAND | ||||
Please comment or provide details below to improve the information on MULTNOMAH COUNTY.
| 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.