Organization
CLACKAMAS COUNTY
Active
Other names
Clackamas County Juvenile Department
Organization subpart
No
Provider details
NPI number
Authorized official
ED JONES (ADMINISTRATIVE SERVICES MANAGER)
(503) 650-3169
Entity
Organization
Contact information
Practice address
2121 KAEN RD, OREGON CITY, OR 97045-4037
(503) 655-8342
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
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500500167
—
OR
Enumeration date
01/26/2011
Last updated
09/24/2019
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