Organization Active NPI

Multnomah County

Doing business as Multnomah County Health Department

  • Federally Qualified Health Center (FQHC)
  • Portland, OR
National Provider Identifier
1174763494
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
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, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
COUNTY OF MULTNOMAHAs 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
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

IdentifierTypeStateIssuer
022959MedicaidOR

Other names 1

  • Multnomah County Health Department Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D0662407Multnomah County Health Department-Student Health12003 NE Shaver St, Portland, OR 97220Certificate of waiverApr 1, 2028

National Provider Directory

National Provider Directory
Tax ID family
Multnomah County HLTH D88 organizations share this tax ID, including this one
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.

View all 24

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.

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

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.

Verify at the official NPI Registry.