NPIMap

Organization Active NPI

Mulnomah County

Doing business as Multnomah County Donald E Long Dental

  • Dental Clinic/Center
  • Portland, OR
National Provider Identifier
1083384747
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MULNOMAH COUNTY
Doing business as
Multnomah County Donald E Long Dental
Practice address
1401 NE 68TH Ave
Portland, OR 97213-4957
Phone
(503) 988-5033
NPI assigned
Sep 15, 2021
Last updated
Aug 28, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
MULTNOMAH COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1401 NE 68TH Ave
Portland, OR 97213-4957

Mailing address

619 NW 6TH Ave FL 5
Portland, OR 97209-3964
Phone (503) 988-7468

Other identifiers 1

IdentifierTypeStateIssuer
022959MedicaidOR

Other names 1

  • Multnomah County Donald E Long Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Multicare Dental Dco89 organizations share this tax ID, including this one
Part of
Multicare Dental Dco

Organizations with this tax ID in the same state 20

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 20

Locations

1401 NE 68th Ave
Portland, OR 97213
Phone (503) 988-3460

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787875200000",
    "number": "1083384747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 NW 6TH AVE FL 5",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093964",
            "telephone_number": "503-988-7468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 NE 68TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972134957",
            "telephone_number": "503-988-5033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULNOMAH COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MULTNOMAH COUNTY",
        "enumeration_date": "2021-09-15",
        "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": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022959",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Multnomah County Donald E Long Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Multnomah County Donald E Long Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

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.

Verify at the official NPI Registry.