MULNOMAH COUNTY (NPI# 1881195402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881195402 |
| Entity Type | Organization |
| Organization Name | MULNOMAH COUNTY |
| Other Organization Name | EAST COUNTY DENTAL CLINIC |
| Practice Address |
600 Ne 8th St Gresham OR 97030-7317 |
| Mailing Address |
619 Nw 6th Ave Ste 500 Portland OR 97209-3964 |
| Practice Telephone | 5039885770 |
| Mailing Telephone | 5039887468 |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2019-03-19 |
| Authorized Official Name | CAMMY GADDIS (FINANCE SPECIALIST) |
| Authorized Official Telephone | 5039887468 |
| Is Organization Subpart | Y |
| Parent Organization Name | MULNOMAH 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 |
|---|---|
| East County Dental Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649339581 | Mulnomah County | Clinic/Center | 619 Nw 6th Ave Ste 500, Portland, OR 97209-3964 | 2006-12-06 |
| 1609369594 | Mulnomah County | Dentist | 3505 Se 182nd Ave, Gresham, OR 97030-5028 | 2018-06-14 |
| Street Address |
600 NE 8TH ST |
| City | GRESHAM |
| State | OR |
| Zip Code | 97030-7317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932141470 | Onaiza Jhaveri Mcknight | Dentist | 600 Ne 8th St, Gresham, OR 97030-7317 | 2006-06-11 |
| 1124645437 | Ramona Ann Waits | Dental Assistant | 600 Ne 8th St, Gresham, OR 97030-7317 | 2020-07-02 |
| 1477973469 | Multnomah County | Case Management | 600 Ne 8th St, Rm 220, Gresham, OR 97030-7317 | 2014-04-17 |
| 1992143291 | Ida Hazeem-layous | Dentist | 600 Ne 8th St, Gresham, OR 97030-7317 | 2013-06-07 |
| 1962742460 | Charlene Afable Maxwell | Nurse Practitioner | 600 Ne 8th St, #300, Gresham, OR 97030-7317 | 2013-02-20 |
| 1790036366 | Syrett Yvonne Torres | Psychologist | 600 Ne 8th St, Gresham, OR 97030-7317 | 2012-09-24 |
| 1821354366 | Lindsay Braun | Family Medicine | 600 Ne 8th St, Gresham, OR 97030-7317 | 2012-04-10 |
| 1225303316 | Naomi Suda Avery | Internal Medicine | 600 Ne 8th St, 3rd Floor, Gresham, OR 97030-7317 | 2012-03-21 |
| 1639442627 | Cathy J Brunton | Registered Nurse | 600 Ne 8th St, Gresham, OR 97030 | 2012-02-22 |
| 1669752861 | Maria Victoria Manarang | Dental Hygienist | 600 Ne 8th St, Gresham, OR 97030-7317 | 2011-08-19 |
| Find all providers in the same location | ||||
| 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 Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912322074 | Multnomah County | Clinic/Center | 3505 Se 182nd Ave, Gresham, OR 97030-5028 | 2014-02-26 |
| 1942747761 | The Native American Rehabilitation Assoc of The Northwest Inc. | Clinic/Center | 620 Ne 2nd St, Gresham, OR 97030-7514 | 2017-01-31 |
| 1992179097 | Central City Concern Inc | Clinic/Center | 333 Se 223rd Ave, Gresham, OR 97030-7454 | 2015-11-30 |
| 1669612743 | Multnomah County | Clinic/Center | 600 Ne 8th St, Room 170, Gresham, OR 97030-7317 | 2009-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215540398 | La Clinica Del Valle Family Healthcare Center Inc. | Clinic/Center | 102 Christian Avenue, Talent, OR 97540 | 2020-08-28 |
| 1790398048 | La Clinica Del Valle Family Healthcare Center Inc. | Clinic/Center | 307 Wagner Creek Road, Talent, OR 97540 | 2020-08-26 |
| 1922656289 | Clackamas County | Clinic/Center | 39831 Highway 26, Sandy, OR 97055-6558 | 2019-08-29 |
| 1063067312 | Virginia Garcia Memorial Health Center | Clinic/Center | 11300 Sw Hazelbrook Rd, Tualatin, OR 97062-6980 | 2019-08-05 |
| 1417411505 | Klamath Health Partnership, Inc | Clinic/Center | 2210 N Eldorado Ave Ste A, Klamath Falls, OR 97601-6418 | 2019-01-23 |
| 1679053946 | Siskiyou Community Health Center Inc | Clinic/Center | 830 Ne 9th St, Grants Pass, OR 97526-1626 | 2018-08-16 |
| 1427563733 | Central City Concern Inc | Clinic/Center | 1415 Se 122nd Ave, Portland, OR 97233 | 2017-12-08 |
| 1598284242 | Winding Waters Medical Clinic | Clinic/Center | 401b N Main St, Joseph, OR 97846-5030 | 2017-09-13 |
| 1750807111 | La Clinica Del Valle Family Health Care Center Inc. | Clinic/Center | 821 N Riverside Ave, Medford, OR 97501 | 2017-08-17 |
| 1477005619 | Outside In | Clinic/Center | 1226 Sw 12th Ave, Portland, OR 97205-2029 | 2016-11-03 |
| Find all providers with the same taxonomy | ||||
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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.