Provider Demographics
NPI:1508001447
Name:MULTNOMAH COUNTY
Entity Type:Organization
Organization Name:MULTNOMAH COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-988-3701
Mailing Address - Street 1:501 SE HAWTHORNE BLVD
Mailing Address - Street 2:250
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97214-3587
Mailing Address - Country:US
Mailing Address - Phone:503-988-3701
Mailing Address - Fax:503-988-4675
Practice Address - Street 1:501 SE HAWTHORNE BLVD
Practice Address - Street 2:250
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97214-3587
Practice Address - Country:US
Practice Address - Phone:503-988-3701
Practice Address - Fax:503-988-4675
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-05
Last Update Date:2008-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health