Multnomah County
Specialty details in registry · Portland, OR
At a glance
1401 Ne 68Th Ave, Portland, OR 97213-4957
NPPES record updated Aug 28, 2026. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
1401 Ne 68Th Ave Juvenile Justice ComplexPortland, OR 97213-4957
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 261QF0400X
- Enumeration date
- Apr 30, 2009
- Record updated
- Aug 28, 2026
More registry details
- Provider type
- Organization · Type 2
- Other reported name
- <UNAVAIL>
Reported taxonomies and licenses
Specialty details in registry
261QF0400X · Primary
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
1401 Ne 68Th AveJuvenile Justice Complex
Portland, OR 97213-4957
- Phone
- (503) 988-3663
- Fax
- (503) 988-3510
Mailing address
619 NW 6TH AVE STE 500PORTLAND, OR 972093964
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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