NPIMap

Organization Active NPI

Multnomah County Health Department

  • Community/Behavioral Health Agency
  • Portland, OR
National Provider Identifier
1104413533
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MULTNOMAH COUNTY HEALTH DEPARTMENT
Practice address
209 SW 4TH Ave Ste 520
Portland, OR 97204-1825
Phone
(503) 988-4055
NPI assigned
Dec 31, 2020
Organization subpart
Yes
Parent organization
MULNOMAH COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Alicia Rodriguez Thompson
Title
Authorized Designee
Phone
(503) 597-9405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

209 SW 4TH Ave Ste 520
Portland, OR 97204-1825

Mailing address

209 SW 4TH Ave Ste 520
Portland, OR 97204-1825
Phone (503) 988-4055

Other identifiers 1

IdentifierTypeStateIssuer
500792105MedicaidOR

Other names 1

  • Behavioral Health Division Non FQHC Other name

National Provider Directory

National Provider Directory
Tax ID family
Multnomah County Health Dept-Pharmacy Admin89 organizations share this tax ID, including this one
Part of
Multnomah County Health Dept-Pharmacy Admin

Organizations with this tax ID in the same state 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1609372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765497600000",
    "number": "1104413533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 SW 4TH AVE STE 520",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972041825",
            "telephone_number": "503-988-4055",
            "fax_number": "503-988-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 SW 4TH AVE STE 520",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972041825",
            "telephone_number": "503-988-4055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULTNOMAH COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MULNOMAH COUNTY",
        "enumeration_date": "2020-12-31",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "RODRIGUEZ",
        "authorized_official_title_or_position": "AUTHORIZED DESIGNEE",
        "authorized_official_telephone_number": "503-597-9405"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500792105",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Behavioral Health Division Non FQHC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Dec 12, 2025; 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.