Multnomah County
Organization Active NPI Federally Qualified Health Center (FQHC) · Gresham, OR
NPI 1518005693 · NPPES record last updated Aug 28, 2026
Key facts
- NPI
- 1518005693
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- MULTNOMAH COUNTY
- Practice address
- 600 NE 8TH St
3Rd Floor
Gresham, OR 97030-7317 - Phone
- (503) 988-3746
- Fax
- (503) 988-3015
- NPI assigned
- Feb 2, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- MULTNOMAH COUNTY
Authorized official
- Name
- Antoinette Payne
- Title
- Business Services Director
- Phone
- (971) 325-6412
Owners & managing parties with NPI records 8
Owned or controlled facilities with NPI records 9
Other NPIs on the same Medicare enrollment 18
Other NPIs with the same Medicare PAC ID 8
Practitioners 132
-
Albert Bazurto, LPC
-
Nimritjot S Hothi, PA-C
-
Samuel Hurley, CSWA
-
Rebecca Martinez, ARNP
-
Ruth Maxwell, FNP
-
Cassie Rae Ryan-Mapolski, PA-C
-
Sheetal Arunkumar Patel, NP-C
-
Renata A Ackermann, PHD
-
Filza Akhtar, D.O.
-
Natasha Marie Avalon Gardner, PMHNP, DNP
-
Diane Elizabeth Baker, LCSW
-
Emily Battenberg, RN
-
Judith C Becher, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OR
Federally qualified health center certification: CCN 381828
- Legal name
- MULTNOMAH COUNTY
- Doing business as
- MULTNOMAH COUNTY HEALTH DEPARTMENT
- 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
- Organization structure
- Government · Non-profit
- Incorporated
- Dec 22, 1854 in OR
- Enrollment address
- 600Ne8Th St
Portland, OR 97030-7317
All disclosed owners & managing parties 5
| Name | Role | Since | Share |
|---|---|---|---|
| Aline Blumenauer |
W-2 Managing Employee |
Dec 1, 2023 | 50% |
| Derrick Moten |
Corporate Director |
Dec 1, 2023 | 100% |
| Multnomah County |
Other | Jan 15, 1998 | 100% |
| Sandra Pugh |
W-2 Managing Employee |
Oct 3, 2017 | 50% |
| Rachael Banks |
Corporate Director |
Dec 1, 2023 | 100% |
All facility ownership & control disclosures 8
| Facility | Type | Role | Since |
|---|---|---|---|
| Multnomah County Health Department |
Federally qualified health center | Other (100%) | Jan 1, 2011 |
| Multnomah County Health Department |
Federally qualified health center | Other (100%) | Oct 1, 2011 |
| Multnomah County Health Department |
Federally qualified health center | Other (100%) | Jan 1, 2015 |
| Multnomah County Health Department |
Federally qualified health center | Other (100%) | Oct 1, 2011 |
| Multnomah County Health Department |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Jan 15, 1998 |
| HIV Health Services |
Federally qualified health center | Other (100%) | Jan 15, 1998 |
| Multnomah County Health Department |
Federally qualified health center | Operational/Managerial Control (100%) Other |
Oct 21, 2011 Apr 1, 2019 |
| Centennial School Base |
Federally qualified health center | Operational/Managerial Control (100%) | Dec 1, 2023 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031203000025 | OR | Part B Supplier - Clinic/Group Practice | 6608771787 |
Receives reassigned benefits from 241 practitioners 19 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Portland, OR; Gresham, OR |
| O20090414000056 | OR | Part a Provider - Federally Qualified Health Center (FQHC) | 6608771787 | Practice locations: Portland, OR |
National Provider Directory
- Part of
- Multnomah County Health Dept-Pharmacy Admin
Locations
600 NE 8th St
Ste 300
Gresham, OR 97030
Phone (503) 988-5155
600 NE 8th St
Fl 3
Gresham, OR 97030
Phone (503) 988-5155
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | OR | Yes | |
| State or Local Public Health Clinic/Center | 261QP0905X | OR |
Addresses
Primary practice location
600 NE 8TH St
3Rd Floor
Gresham, OR 97030-7317
Mailing address
619 NW 6TH Ave Ste 500
Portland, OR 97209-3964
Phone (503) 988-7468
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 096511 | Medicaid | OR | |
| 022959 | Medicaid | OR |
Other names
- East County Health Center
Other providers in Gresham, OR
- Joanna E Mullett
- Mulnomah County
- Mulnomah County
- Multnomah County
- Multnomah County
- Multnomah County
- Multnomah County
- Multnomah County
- Multnomah County Oregon
- Multnomah County School District #U2-20JT
All providers in Gresham, OR · Federally Qualified Health Center (FQHC) in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.