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Contact Information

MULNOMAH COUNTY
3505 SE 182ND AVE
GRESHAM, OR97030-5028
 Phone: 503-988-5488
 Fax: 503-988-5484
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Public Health

1223D0001X
Indicates primary specialty

NPI Profile & details for MULNOMAH COUNTY

NPI # 1609369594
LBN Legal business name MULNOMAH COUNTY
Authorized official DERRICK MOTEN - (INTERIM BUSINESS SERVICES DIRECTOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 06/14/2018
Last updated 05/18/2024 - About 2 years ago
Identifiers
OR Medicaid 022959
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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