Active NPI
Multnomah County
Doing business as Multnomah County Health Department
- Federally Qualified Health Center (FQHC)
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- MULTNOMAH COUNTY
- Doing business as
- Multnomah County Health Department
- Practice address
- 12003 NE Shaver St
Portland, OR 97220-1494 - Phone
- (503) 988-3392
- Fax
- (503) 988-3580
- NPI assigned
- Feb 26, 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 |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
12003 NE Shaver St
Portland, OR 97220-1494
Mailing address
619 NW 6TH Ave Ste 500
Portland, OR 97209-3964
Phone (503) 988-7468
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022959 | Medicaid | OR |
Other names 1
- Multnomah County Health Department
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 38D0662407 | Multnomah County Health Department-Student Health | Certificate of waiver | Apr 1, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Multnomah County HLTH D
- Part of
- Multnomah County HLTH D
Organizations with this tax ID in the same state 24
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
-
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 Multnomah County Health Dept -Corrections Health
- Prison Health Clinic/Center
- Portland, OR
- NPI 1073757316
-
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 BHD Early Childhood and Head Start Mental Health Services
- Community/Behavioral Health Agency
- Portland, OR
- NPI 1205517786
Locations
12003 NE Shaver St
Portland, OR 97220
Phone (503) 988-3392
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.
-
- 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": "1235606400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787875200000",
"number": "1174763494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "619 NW 6TH AVE STE 500",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972093964",
"telephone_number": "503-988-7468",
"fax_number": "503-988-3015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12003 NE SHAVER ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972201494",
"telephone_number": "503-988-3392",
"fax_number": "503-988-3580"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MULTNOMAH COUNTY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "COUNTY OF MULTNOMAH",
"enumeration_date": "2009-02-26",
"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": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022959",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Multnomah County Health Department",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Multnomah County Health Department",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Portland, OR
- Multnomah County (Multnomah County Health Dept -Corrections Health)
- 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 (BHD Early Childhood and Head Start Mental Health Services)
- Multnomah County (North Portland Clinic Pharmacy)
- Multnomah County (McDaniel School based)
- Multnomah County (Multnomah County Health Dept,Mid County)
- Multnomah County
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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.