EAST COUNTY DENTAL CLINIC – NPI #1881195402
Clinic/Center

EAST COUNTY DENTAL CLINIC is an AHC clinic located in GRESHAM, OR. NPPES has assigned the NPI number 1881195402 to EAST COUNTY DENTAL CLINIC on February 28, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “EAST COUNTY DENTAL CLINIC” is a dba name, the actual legal business name for this organization is MULNOMAH COUNTY. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 7 years ago on Mar 19, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EAST COUNTY DENTAL CLINIC below.

NPI Profile for
MULNOMAH COUNTY

NPI Number
1881195402
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MULNOMAH COUNTY
Doing Business As (dba): EAST COUNTY DENTAL CLINIC
Primary location
600 NE 8TH ST
GRESHAM, OR 97030-7317
Phone: (503) 988-5770 Fax:
Mailing address
619 NW 6TH AVE STE 500
PORTLAND, OR 97209-3964
Phone: (503) 988-7468 Fax:
Organization Subpart
Yes - EAST COUNTY DENTAL CLINIC is subpart of another organization.
Authorized Official
CAMMY GADDIS
FINANCE SPECIALIST
Phone: (503) 988-7468
Updated
Identifiers

Identifiers for EAST COUNTY DENTAL CLINIC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDOR022959
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)
OR
261QD0000X
- Clinic/Center / Dental
OR

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.