Organization
CLACKAMAS COUNTY
Active
Other names
Clackamas Health Centers
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) 742-5301
Mailing address
2051 KAEN RD, SUITE 367, OREGON CITY, OR 97045-4035
(503) 742-5300
(503) 742-5301
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031799
—
OR
Enumeration date
01/29/2007
Last updated
09/24/2019
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