Active NPI
Multnomah County
Doing business as Multnomah County Health Dept -Corrections Health
- Prison Health Clinic/Center
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prison Health Clinic/Center
- Legal business name
- MULTNOMAH COUNTY
- Doing business as
- Multnomah County Health Dept -Corrections Health
- Practice address
- 1120 SW 3Rd Ave
Dentention Center
Portland, OR 97204-2801 - Phone
- (503) 988-3976
- Fax
- (503) 988-3975
- NPI assigned
- Apr 30, 2009
- Last updated
- Aug 28, 2026
- Organization subpart
- Yes
- Parent organization
- COUNTY OF MULTNOMAH
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Antoinette Payne
- Title
- Business Services Director
- Phone
- (971) 325-6412
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prison Health Clinic/Center | 261QP2400X | NU | Primary |
Addresses
Primary practice location
1120 SW 3Rd Ave
Dentention Center
Portland, OR 97204-2801
Mailing address
421 SW Oak St
Suite 210
Portland, OR 97204-1817
Phone (503) 988-3056
Other names 1
- Multnomah County Health Dept -Corrections Health
National Provider Directory
National Provider Directory- Tax ID family
- Multicare Dental Dco
- Part of
- Multicare Dental Dco
Organizations with this tax ID in the same state 18
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
dba Multnomah County Donald E Long Dental
- Dental Clinic/Center
- Portland, OR
- NPI 1083384747
-
- Prison Health Clinic/Center
- Portland, OR
- NPI 1013141241
-
dba BHD Gun Violence Impacted Families Behavioral Health Response Team
- Community/Behavioral Health Agency
- Portland, OR
- NPI 1013698497
-
dba Vaccine Depot
- State or Local Public Health Clinic/Center
- Portland, OR
- NPI 1023451044
-
dba Multnomah County Health Department
- Case Management Agency
- Portland, OR
- NPI 1053631747
-
dba Multnomah County Health Department, David Douglas
- Primary Care Clinic/Center
- Portland, OR
- NPI 1063725141
-
dba MC Mobile Dental
- Federally Qualified Health Center (FQHC)
- Portland, OR
- NPI 1073221966
-
dba Mid County Dental Clinic
- Federally Qualified Health Center (FQHC)
- Portland, OR
- NPI 1083115612
-
dba MC Mobile PC
- Federally Qualified Health Center (FQHC)
- Portland, OR
- NPI 1164130050
-
dba Multnomah County Health Department
- Federally Qualified Health Center (FQHC)
- Portland, OR
- NPI 1164662557
-
dba North Portland Dental Clinic
- Federally Qualified Health Center (FQHC)
- Portland, OR
- NPI 1174163612
-
dba Multnomah County Health Department
- Federally Qualified Health Center (FQHC)
- Portland, OR
- NPI 1174763494
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- Portland, OR
- NPI 1295128650
-
- Community Health Registered Nurse
- Portland, OR
- NPI 1871220186
-
- Psychiatric/Mental Health Nurse Practitioner
- Portland, OR
- NPI 1912231606
-
- Infectious Disease Physician
- Portland, OR
- NPI 1518996198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241049600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787875200000",
"number": "1073757316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "421 SW OAK ST",
"address_2": "SUITE 210",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972041817",
"telephone_number": "503-988-3056",
"fax_number": "503-988-3015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 SW 3RD AVE",
"address_2": "DENTENTION CENTER",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972042801",
"telephone_number": "503-988-3976",
"fax_number": "503-988-3975"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MULTNOMAH COUNTY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "COUNTY OF MULTNOMAH",
"enumeration_date": "2009-04-30",
"last_updated": "2026-08-28",
"certification_date": "2026-08-28",
"status": "A",
"authorized_official_last_name": "PAYNE",
"authorized_official_first_name": "ANTOINETTE",
"authorized_official_title_or_position": "BUSINESS SERVICES DIRECTOR",
"authorized_official_telephone_number": "971-325-6412"
},
"taxonomies": [
{
"code": "261QP2400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Prison Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Multnomah County Health Dept -Corrections Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Portland, OR
- Multnomah County (BHD Gun Violence Impacted Families Behavioral Health Response Team)
- Multnomah County (Vaccine Depot)
- Multnomah County (Multnomah County Health Department)
- Multnomah County (Multnomah County Health Department, David Douglas)
- Multnomah County (MC Mobile Dental)
- Multnomah County (Mid County Dental Clinic)
- Multnomah County (MC Mobile PC)
- Multnomah County (Multnomah County Health Department)
- Multnomah County (North Portland Dental Clinic)
- Multnomah County (Multnomah County Health Department)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.