| Clackamas County | |
|
9775 Se Sunnyside Rd Ste 200 Clackamas OR 97015-5721 | |
| (503) 794-3830 | |
| (503) 794-3850 |
| Full Name | Clackamas County |
|---|---|
| Speciality | Clinic/Center |
| Location | 9775 Se Sunnyside Rd Ste 200, Clackamas, Oregon |
| Authorized Official Name and Position | Ed Johnson (CFO) |
| Authorized Official Contact | 5037425325 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clackamas County 2051 Kaen Rd Ste 367 Oregon City OR 97045-4035 Ph: (503) 742-5300 | Clackamas County 9775 Se Sunnyside Rd Ste 200 Clackamas OR 97015-5721 Ph: (503) 794-3830 |
| NPI Number | 1891042487 |
|---|---|
| Provider Enumeration Date | 08/14/2012 |
| Last Update Date | 09/24/2019 |
| Medicare PECOS PAC ID | 9537065560 |
|---|---|
| Medicare Enrollment ID | O20120614000822 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891042487 | NPI | - | NPPES |
| 031799 | Medicaid | OR | |
| 500653393 | Medicaid | OR | |
| 131607 | Medicaid | OR | |
| 022710 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Kaiser Foundation Health Plan Of The Northwest Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10100 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 800-813-2000 Fax: 503-286-6879 | |
Living Well Counseling Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9123 Se Saint Helens St Ste 165, Clackamas, OR 97015 Phone: 503-770-0448 | |
Cascadia Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12360 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-303-4000 Fax: 503-344-4412 | |
Providence Health & Services Oregon Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9290 Se Sunnybrook Blvd, Suite 120, Clackamas, OR 97015 Phone: 503-215-2110 Fax: 503-215-2115 | |
Kaiser Foundation Health Plan Of The Northwest Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9800 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 800-813-2000 Fax: 503-286-6879 | |
Evexia, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9123 Se Saint Helens St Ste 100a, Clackamas, OR 97015 Phone: 503-482-2122 | |
Outside In Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9852 Se Empire Ct, Clackamas, OR 97015 Phone: 503-535-3800 |