Provider Demographics
NPI:1417759192
Name:MULTNOMAH COUNTY
Entity type:Organization
Organization Name:MULTNOMAH COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:QUALITY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MILES
Authorized Official - Middle Name:
Authorized Official - Last Name:SLEDD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:971-930-3066
Mailing Address - Street 1:209 SW 4TH AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97204-1824
Mailing Address - Country:US
Mailing Address - Phone:971-930-3066
Mailing Address - Fax:
Practice Address - Street 1:209 SW 4TH AVE STE 200
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97204-1824
Practice Address - Country:US
Practice Address - Phone:971-930-3066
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MULTNOMAH COUNTY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes177F00000XOther Service ProvidersLodging