Organization Active NPI

Multnomah County

  • Federally Qualified Health Center (FQHC)
  • Portland, OR
National Provider Identifier
1760626006
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
Practice address
1401 NE 68TH Ave
Juvenile Justice Complex
Portland, OR 97213-4957
Phone
(503) 988-3663
Fax
(503) 988-3510
NPI assigned
Apr 30, 2009
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

1401 NE 68TH Ave
Juvenile Justice Complex
Portland, OR 97213-4957

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 Dept./Juvenile Justice Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Multnomah County Health Dept-Pharmacy Admin89 organizations share this tax ID, including this one
Part of
Multnomah County Health Dept-Pharmacy Admin

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.

NPI Registry JSON

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

{
    "created_epoch": "1241049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787875200000",
    "number": "1760626006",
    "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": "1401 NE 68TH AVE",
            "address_2": "JUVENILE JUSTICE COMPLEX",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972134957",
            "telephone_number": "503-988-3663",
            "fax_number": "503-988-3510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULTNOMAH COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF MULTNOMAH",
        "enumeration_date": "2009-04-30",
        "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 Dept./Juvenile Justice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Multnomah County Health Dept./Juvenile Justice",
            "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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.