MULNOMAH COUNTY


Address: 3505 Se 182nd Ave, Gresham, OR 97030-5028
Phone: 5039885488

MULNOMAH COUNTY (NPI# 1609369594) 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) 1609369594
Entity Type Organization
Organization Name MULNOMAH COUNTY
Other Organization Name MULTNOMAH COUNTY SCHOOL ORAL HEALTH
Practice Address 3505 Se 182nd Ave
Gresham
OR 97030-5028
Mailing Address 421 Sw Oak St Ste 210
Portland
OR 97204-1842
Practice Telephone 5039885488
Practice Fax Number 5039885484
Mailing Telephone 5039887468
Mailing Fax Number 5039883015
Enumeration Date 2018-06-14
Last Update Date 2018-06-14
Authorized Official Name MARK D LEWIS (DIRECTOR)
Authorized Official Telephone 5039887462
Is Organization Subpart Y
Parent Organization Name MULNOMAH COUNTY

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223D0001X Dentist
Specialization: Dental Public Health
OR Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
OR 022959 05

Other Provider/Organization Names

Other Name Type Code
Multnomah County School Oral Health Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1649339581 Mulnomah County Clinic/Center 619 Nw 6th Ave Ste 500, Portland, OR 97209-3964 2006-12-06
1881195402 Mulnomah County Clinic/Center 600 Ne 8th St, Gresham, OR 97030-7317 2018-02-28

Office Location

Street Address 3505 SE 182ND AVE
City GRESHAM
State OR
Zip Code 97030-5028

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912322074 Multnomah County Clinic/Center 3505 Se 182nd Ave, Gresham, OR 97030-5028 2014-02-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174032312 Tiffany Chen Occupational Therapist 304 Ne Hood Ave., Gresham, OR 97030 2017-09-20
1225568454 Goldstar Vascular Access, Inc Home Infusion 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 2017-06-20
1861940454 Jessica Morrow Massage Therapist 1748 Nw Fairview Dr., Gresham, OR 97030 2016-09-13
1033665898 Bonita Baxter Counselor 400 Ne 7th Street, Gresham, OR 97030 2016-08-31
1710335484 Ethan William Hoccom Counselor 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 2016-06-02
1992159610 Kathleen Kline, Lmt Massage Therapist 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 2016-04-19
1215390109 The Wallace Medical Concern Nurse Practitioner 254 Nw Burnside Road, Gresham, OR 97030 2016-03-30
1932568912 Atchison Dialysis, LLC Clinic/Center 878 Nw Burnside Rd, Gresham, OR 97030 2016-02-18
1912374034 Hilary Dawn Montgomery Counselor 1326 Nw Civic Dr # 5569, Gresham, OR 97030 2015-08-24
1992171730 Melissa E Childs Massage Therapist 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 2015-08-17
Find all providers in zip 97030

Taxonomy Information

Taxonomy Code 1223D0001X
Grouping Dental Providers
Classification Dentist
Specialization Dental Public Health

Taxonomy Definition

The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184703324 Athena Marie Bettger Dentist 600 Ne 8th, Dental Clinic, Gresham, OR 97030 2006-11-06
1700201464 Brookside Dental-gresham Dentist 4255 Se 182nd Ave, Gresham, OR 97030-5083 2014-03-04
1700983871 Laura Thompson Nelson Dentist 600 Ne 8th St, Gresham, OR 97030-7317 2006-09-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1427603968 County of Tillamook Dentist 1925 Suppress Rd N, Tillamook, OR 97141-9296 2019-08-01
1184289845 Bdg Dental LLC Dentist 901 Nw Carlon Ave Apt 1, Bend, OR 97703-2636 2019-05-07
1851878235 Gregory A Shook Dentist 2575 Center Street Ne, Salem, OR 97301-4667 2018-07-27
1730341975 County of Tillamook Dentist 34325 Highway 101 S, Cloverdale, OR 97112-9400 2008-06-30
1639291008 Todd Michael Schroeder Dentist 13 Ne 5th Ave, Milton Freewater, OR 97862-1701 2007-04-04
1104948579 Norman Dean Saager Dentist 508 E Broadway Ave, Milton Freewater, OR 97862-1315 2007-04-04
1477616720 Jia Lin Goh Dentist 2403 Se Monroe St Ste F, Portland, OR 97222-7646 2006-12-18
1477613636 Cynthia Rachel Varro Dentist 3617 S Pacific Highway, Medford, OR 97501 2006-12-11
1083600712 Bc Nelson Dentist 470 E Washington St, Stayton, OR 97383-1837 2005-09-27
1417568668 County of Tillamook Dentist 805 Ivy Ave Ste B, Tillamook, OR 97141-3758 2020-08-12
Find all providers with the same taxonomy

Competitor

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City GRESHAM
Zip Code 97030

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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