Organization
COUNTY OF CLACKAMAS OFFICE OF COUNTY AUDITOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ED JOHNSON (CFO)
(503) 742-5325
Entity
Organization
Contact information
Practice address
2051 KAEN RD, SUITE 367, OREGON CITY, OR 97045-4035
(503) 742-5300
(503) 742-8350
Mailing address
2051 KAEN RD, SUITE 367, OREGON CITY, OR 97045-4035
(503) 742-5300
(503) 742-8350
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133541
—
OR
Enumeration date
03/26/2007
Last updated
09/24/2019
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