# CLACKAMAS SERVICE CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821356536
- **Authorized official:** ANDREW CATTS (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (503) 799-3585

## Contact information

- **Practice address:** 8800 SE 80TH AVE, PORTLAND, OR 97206-9270
- **Practice address phone:** (503) 771-7914
- **Practice address fax:** (503) 771-8606
- **Mailing address:** PO BOX 2620, CLACKAMAS, OR 97015-2620
- **Mailing address phone:** (503) 771-7914
- **Mailing address fax:** (503) 771-8606

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | LD-D-10148063 | OR | Yes |

## Other

- **Enumeration date:** 05/01/2012
- **Last updated:** 05/01/2012