Organization
CLACKAMAS COUNTY
Active
Other names
Clackamas Health Centers - 1011 Courthouse Road
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH JACOBSON (DIRECTOR - INTERIM)
(503) 742-5300
Entity
Organization
Contact information
Practice address
1011 COURTHOUSE ROAD, OREGON CITY, OR 97045-4066
(503) 655-8401
(503) 655-8429
Mailing address
2051 KAEN RD STE 367, OREGON CITY, OR 97045-4035
(503) 742-5300
(503) 655-8350
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022710
—
OR
Enumeration date
08/10/2012
Last updated
12/01/2022
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