NPIMap

Organization Active NPI

Multnomah County

Doing business as McDaniel School based

  • Federally Qualified Health Center (FQHC)
  • Portland, OR
National Provider Identifier
1235379629
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
McDaniel School based
Practice address
2735 NE 82ND Ave
Portland, OR 97220-5304
Phone
(503) 988-3382
Fax
(503) 988-3167
NPI assigned
Feb 25, 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

2735 NE 82ND Ave
Portland, OR 97220-5304

Mailing address

619 NW 6TH Ave Ste 500
Portland, OR 97209-3964
Phone (503) 988-7468

Other names 1

  • McDaniel School based Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1235379629. Details of each certification follow.

  • CCN 381839 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 381839

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
MADISON HIGH SCHOOL BASED HEALTH CTR
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 15, 1998
Last certification
Jan 15, 1998
Ownership / control type
Non-profit – corporation
Facility address
2735 NE 82ND Ave
Portland, OR 97220

National Provider Directory

National Provider Directory
Tax ID family
Multnomah County Health88 organizations share this tax ID, including this one
Part of
Multnomah County Health

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

2735 NE 82nd Ave
Portland, OR 97220
Phone (503) 916-5220

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.

NPI Registry JSON

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

{
    "created_epoch": "1235520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787875200000",
    "number": "1235379629",
    "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": "2735 NE 82ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972205304",
            "telephone_number": "503-988-3382",
            "fax_number": "503-988-3167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULTNOMAH COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF MULTNOMAH",
        "enumeration_date": "2009-02-25",
        "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McDaniel School based",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.