NPIMap

Organization Active NPI

Mulnomah County

Doing business as MC Reynolds Dental

  • Federally Qualified Health Center (FQHC)
  • Troutdale, OR
National Provider Identifier
1821757527
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
MULNOMAH COUNTY
Doing business as
MC Reynolds Dental
Practice address
1698 SW Cherry Park Rd
Troutdale, OR 97060-1481
Phone
(503) 988-3340
NPI assigned
Dec 10, 2021
Last updated
Aug 28, 2026By the provider in NPPES
Organization subpart
No

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

1698 SW Cherry Park Rd
Troutdale, OR 97060-1481

Mailing address

619 SW 6TH Ave.
5TH FL
Portland, OR 97209
Phone (503) 988-7468

Other identifiers 1

IdentifierTypeStateIssuer
22959MedicaidOR

Other names 1

  • MC Reynolds Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Multnomah County HLTH D88 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

Locations

1698 SW Cherry Park Rd
Troutdale, OR 97060
Phone (503) 667-3186

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": "1639094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787875200000",
    "number": "1821757527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 SW 6TH AVE.",
            "address_2": "5TH FL",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97209",
            "telephone_number": "503-988-7468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1698 SW CHERRY PARK RD",
            "city": "TROUTDALE",
            "state": "OR",
            "postal_code": "970601481",
            "telephone_number": "503-988-3340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULNOMAH COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-10",
        "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": "22959",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MC Reynolds Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MC Reynolds Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Troutdale, 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.