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CLACKAMAS COUNTY NPI 1447507215


NPI Information

NPI: 1447507215
Provider Name: CLACKAMAS COUNTY

Doing Business As: CLACKAMAS HEALTH CENTERS - 1011 COURTHOUSE ROAD

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
1011 COURTHOUSE ROAD
OREGON CITY, OR
ZIP 97045
Phone: (503) 655-8401
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CLACKAMAS COUNTY is a federally qualified health center (fqhc) clinic center in Oregon City, OR. CLACKAMAS COUNTY NPI is 1447507215. The provider is registered as an organization entity type.
The provider Is Doing Business As Clackamas Health Centers - 1011 Courthouse Road.

The provider's business location address is:

1011 COURTHOUSE ROAD
OREGON CITY, OR
ZIP 97045-066
Phone: (503) 655-8401
Fax: (503) 655-8429

The provider's authorized official is Sarah Jacobson .
The authorized official title is Director - Interim and has the following contact phone number (503) 742-5300.

The enumeration date for this NPI number is 8/10/2012 and was last updated on 12/1/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1022710MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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