Clackamas Health Centers - 1011 Courthouse Road | |
1011 Courthouse Road Oregon City OR 97045-4066 | |
(503) 655-8401 | |
(503) 655-8429 |
Full Name | Clackamas Health Centers - 1011 Courthouse Road |
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Speciality | Clinic/Center |
Location | 1011 Courthouse Road, Oregon City, Oregon |
Authorized Official Name and Position | Sarah Jacobson (DIRECTOR - INTERIM) |
Authorized Official Contact | 5037425300 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Clackamas Health Centers - 1011 Courthouse Road 2051 Kaen Rd Ste 367 Oregon City OR 97045-4035 Ph: (503) 742-5300 | Clackamas Health Centers - 1011 Courthouse Road 1011 Courthouse Road Oregon City OR 97045-4066 Ph: (503) 655-8401 |
NPI Number | 1447507215 |
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Provider Enumeration Date | 08/10/2012 |
Last Update Date | 12/01/2022 |
Medicare PECOS PAC ID | 9537065560 |
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Medicare Enrollment ID | O20140331000839 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447507215 | NPI | - | NPPES |
022710 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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