Organization
CLACKAMAS SERVICE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW CATTS (EXECUTIVE DIRECTOR)
(503) 799-3585
Entity
Organization
Contact information
Practice address
8800 SE 80TH AVE, PORTLAND, OR 97206-9270
(503) 771-7914
(503) 771-8606
Mailing address
PO BOX 2620, CLACKAMAS, OR 97015-2620
(503) 771-7914
(503) 771-8606
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
LD-D-10148063
OR
Other
Enumeration date
05/01/2012
Last updated
05/01/2012
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