| Clackamas Crisis Walk-in Clinic | |
|
11211 Se 82nd Ave Ste O Happy Valley OR 97086-7624 | |
| (503) 722-6200 | |
| (503) 722-6545 |
| Full Name | Clackamas Crisis Walk-in Clinic |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 11211 Se 82nd Ave Ste O, Happy Valley, Oregon |
| Authorized Official Name and Position | Ed Johnson (CFO) |
| Authorized Official Contact | 5037425325 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clackamas Crisis Walk-in Clinic 2051 Kaen Rd Suite 367 Oregon City OR 97045-4035 Ph: (503) 742-5300 | Clackamas Crisis Walk-in Clinic 11211 Se 82nd Ave Ste O Happy Valley OR 97086-7624 Ph: (503) 722-6200 |
| NPI Number | 1801142781 |
|---|---|
| Provider Enumeration Date | 07/30/2012 |
| Last Update Date | 09/24/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801142781 | NPI | - | NPPES |
| 500727087 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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