NPIMap

Organization Active NPI

Mulnomah County

Doing business as Multnomah County School Oral Health

  • Public Health Dentistry
  • Gresham, OR
National Provider Identifier
1609369594
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
Legal business name
MULNOMAH COUNTY
Doing business as
Multnomah County School Oral Health
Practice address
3505 SE 182ND Ave
Gresham, OR 97030-5028
Phone
(503) 988-5488
Fax
(503) 988-5484
NPI assigned
Jun 14, 2018
Last updated
Aug 28, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
MULNOMAH COUNTYAs 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
Public Health Dentistry 1223D0001X OR Primary

Addresses

Primary practice location

3505 SE 182ND Ave
Gresham, OR 97030-5028

Mailing address

421 SW Oak St Ste 210
Portland, OR 97204-1842
Phone (503) 988-7468

Other identifiers 1

IdentifierTypeStateIssuer
022959MedicaidOR

Other names 1

  • Multnomah County School Oral Health Doing business as

National Provider Directory

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

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

3505 SE 182nd Ave
Gresham, OR 97030
Phone (503) 988-3350

209 SW 4th Ave
Ste 210
Portland, OR 97204
Phone (503) 988-3674

Practitioners & affiliated clinicians

Practitioners 3

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": "1528934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787875200000",
    "number": "1609369594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 SW OAK ST STE 210",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972041842",
            "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": "3505 SE 182ND AVE",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970305028",
            "telephone_number": "503-988-5488",
            "fax_number": "503-988-5484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULNOMAH COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MULNOMAH COUNTY",
        "enumeration_date": "2018-06-14",
        "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": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022959",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Multnomah County School Oral Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Multnomah County School Oral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gresham, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.