East County Dental Clinic
LBN: Mulnomah County
East County Dental Clinic is an health care organization with primary practice located at 600 Ne 8Th St , Gresham OR 97030-7317. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Dental, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Mulnomah County can be contacted via phone (503) 988-5770, or through Gaddis, Cammy via phone (503) 988-7468.
Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Dental | 261QD0000X | Oregon | |
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | Oregon |
Profile Details
| NPI number | 1881195402 |
|---|---|
| LBN Legal business name | Mulnomah County |
| DBA Doing business as | East County Dental Clinic |
| Authorized official | Gaddis, Cammy |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Feb 28th, 2018 |
| Last updated | Mar 19th, 2019 - about 7 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881195402 | NPPES |
| Oregon | MEDICAID | 022959 |
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