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Multnomah County

Organization Active NPI Federally Qualified Health Center (FQHC) · Portland, OR

NPI 1912226325 · NPPES record last updated Aug 28, 2026

Key facts

NPI
1912226325
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
MULTNOMAH COUNTY
Practice address
2020 SE 182ND Ave
Portland, OR 97233-5692
Phone
(503) 988-7462
Fax
(503) 988-4098
NPI assigned
May 25, 2010
Organization subpart
No

Authorized official

Name
Antoinette Payne
Title
Business Services Director
Phone
(971) 325-6412

Owners & managing parties with NPI records 8

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Multnomah County Federally Qualified Health Center (FQHC) · Portland, OR · NPI 1245378322
    CMS ownership OPERATIONAL/MANAGERIAL CONTROL · OTHER
  • Multnomah County Federally Qualified Health Center (FQHC) · Portland, OR · NPI 1427196500
    CMS ownership OPERATIONAL/MANAGERIAL CONTROL · OTHER
  • Multnomah County Federally Qualified Health Center (FQHC) · Portland, OR · NPI 1508904681
    CMS ownership OPERATIONAL/MANAGERIAL CONTROL · OTHER
  • Multnomah County Federally Qualified Health Center (FQHC) · Gresham, OR · NPI 1518005693
    CMS ownership OPERATIONAL/MANAGERIAL CONTROL · OTHER
  • Multnomah County Federally Qualified Health Center (FQHC) · Portland, OR · NPI 1609914787
    CMS ownership OPERATIONAL/MANAGERIAL CONTROL · OTHER
  • Multnomah County State or Local Public Health Clinic/Center · Portland, OR · NPI 1720126816
    CMS ownership OPERATIONAL/MANAGERIAL CONTROL · OTHER
  • Multnomah County Federally Qualified Health Center (FQHC) · Gresham, OR · NPI 1912322074
    CMS ownership OPERATIONAL/MANAGERIAL CONTROL · OTHER
  • Multnomah County Federally Qualified Health Center (FQHC) · Portland, OR · NPI 1982992954
    CMS ownership OPERATIONAL/MANAGERIAL CONTROL · OTHER

Owned or controlled facilities with NPI records 9

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs on the same Medicare enrollment 18

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 19

Organizations that report the same tax identification number in the National Provider Directory.

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners 123

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 123

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in OR

Federally qualified health center certification: CCN 381926

Legal name
MULTNOMAH COUNTY
Doing business as
MULTNOMAH COUNTY HEALTH DEPARTMENT
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 21, 2011
Last certification
Oct 21, 2011
Ownership / control type
Non-profit – corporation
Organization structure
Government · Non-profit
Incorporated
Dec 22, 1854 in OR
Enrollment address
2020 SE 182ND Ave
Gresham, OR 97233-5692

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Aline Blumenauer
Individual 		W-2 Managing Employee
Finance Manager		 Dec 1, 2023 50%
Derrick Moten
Individual 		Corporate Director
Deputy Director		 Dec 1, 2023 100%
Multnomah County
Organization · Portland, OR 		Operational/Managerial Control Oct 21, 2011 100%
Other Apr 1, 2019
Sandra Pugh
Individual 		W-2 Managing Employee
Business Process Consultant		 Oct 3, 2017 50%
Rachael Banks
Individual 		Corporate Director
Director		 Dec 1, 2023 100%

All facility ownership & control disclosures 8

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Multnomah County Health Department
Portland, OR · CCN 381827		 Federally qualified health center Other (100%) Jan 1, 2011
Multnomah County Health Department
Portland, OR · CCN 381828		 Federally qualified health center Other (100%) Jan 15, 1998
Multnomah County Health Department
Portland, OR · CCN 381829		 Federally qualified health center Other (100%) Oct 1, 2011
Multnomah County Health Department
Portland, OR · CCN 381830		 Federally qualified health center Other (100%) Jan 1, 2015
Multnomah County Health Department
Portland, OR · CCN 381832		 Federally qualified health center Other (100%) Oct 1, 2011
Multnomah County Health Department
Portland, OR · CCN 381833		 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jan 15, 1998
HIV Health Services
Portland, OR · CCN 381925		 Federally qualified health center Other (100%) Jan 15, 1998
Centennial School Base
Gresham, OR · CCN 381030		 Federally qualified health center Operational/Managerial Control (100%) Dec 1, 2023

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
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
O20111017000369 OR Part a Provider - Federally Qualified Health Center (FQHC) 6608771787 Practice locations: Gresham, OR

National Provider Directory

Tax ID family
Multnomah County Health Dept-Pharmacy Admin (89 organizations share this tax ID)

Specialties & licenses

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

Addresses

Primary practice location

2020 SE 182ND Ave
Portland, OR 97233-5692

Mailing address

619 NW 6TH Ave Ste 210
Portland, OR 97209-3964
Phone (503) 988-7468

Other identifiers

IdentifierTypeStateIssuer
022959MedicaidOR

Other names

  • Multnomah County Health Department, Rockwood Doing business as

Other providers in Portland, OR

All providers in Portland, OR · Federally Qualified Health Center (FQHC) in Oregon

Sources for this page

Verify at the official NPI Registry.