NPIMap

Organization Active NPI

Multnomah County

Doing business as Hepatitis C Program

  • Federally Qualified Health Center (FQHC)
  • Portland, OR
National Provider Identifier
1508388497
Registry record updated Mar 13, 2019
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
Hepatitis C Program
Practice address
619 NW 6TH Ave
Portland, OR 97209-3964
Phone
(503) 988-7468
Fax
(503) 988-3015
NPI assigned
Jul 12, 2017
Last updated
Mar 13, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2019

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

Authorized official

Name
Wendy Lear
Title
Business Services Manager
Phone
(503) 988-7511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X OR Primary

Addresses

Primary practice location

619 NW 6TH Ave
Portland, OR 97209-3964

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
096511MedicaidOR

Other names 1

  • Hepatitis C Program Doing business as

National Provider Directory

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

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

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": "1499817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552435200000",
    "number": "1508388497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 NW 6TH AVE",
            "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": "619 NW 6TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093964",
            "telephone_number": "503-988-7468",
            "fax_number": "503-988-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULTNOMAH COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-12",
        "last_updated": "2019-03-13",
        "status": "A",
        "authorized_official_last_name": "LEAR",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "BUSINESS SERVICES MANAGER",
        "authorized_official_telephone_number": "503-988-7511"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "096511",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hepatitis C Program",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hepatitis C Program",
            "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 Mar 13, 2019; 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.