Organization
COUNTY OF CLACKAMAS OFFICE OF COUNTY AUDITOR
Active
Parent organization
COUNTY OF CLACKAMAS OFFICE OF COUNTY AUDITOR
Other names
Hilltop Behavioral Health Center, Lake Road Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF CLACKAMAS OFFICE OF COUNTY AUDITOR
Authorized official
ADAM KEARL (HEALTH CENTERS CFO)
(503) 742-5319
Entity
Organization
Contact information
Practice address
6605 SE LAKE ROAD, MILWAUKIE, OR 97222
(503) 655-8401
(503) 655-8429
Mailing address
2051 KAEN RD., SUITE 367, OREGON CITY, OR 97045
(503) 742-5300
(503) 742-5979
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
OR
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
OR
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
OR
302R00000X
Health Maintenance Organization
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022710
—
OR
05
—
031799
—
OR
05
—
131607
—
OR
Enumeration date
07/01/2006
Last updated
01/15/2025
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