<unavail> in Clackamas, OR - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Clackamas, Oregon. The current practice location for is 9775 Se Sunnyside Rd Ste 200, Clackamas, Oregon. For appointments, you can reach them via phone at (503) 794-3830. The mailing address for is 2051 Kaen Rd Ste 367, Oregon City, Oregon and phone number is (503) 742-5300.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1891042487. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (503) 794-3830.

Contact Information


	9775 Se Sunnyside Rd Ste 200 Clackamas OR 97015-5721
	(503) 794-3830
	(503) 794-3850

Map and Direction

Primary Care Clinic Profile

Full Name
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 and Practice Location

Mailing Address	Practice Location Address
2051 Kaen Rd Ste 367 Oregon City OR 97045-4035 Ph: (503) 742-5300	9775 Se Sunnyside Rd Ste 200 Clackamas OR 97015-5721 Ph: (503) 794-3830

NPI Details:

NPI Number	1891042487
Provider Enumeration Date	08/14/2012
Last Update Date	09/24/2019

Medicare PECOS Information:

Medicare PECOS PAC ID	9537065560
Medicare Enrollment ID	O20120614000822

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891042487	NPI	-	NPPES
031799	Medicaid	OR
500653393	Medicaid	OR
131607	Medicaid	OR
022710	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Clackamas, OR

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Outside In Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9852 Se Empire Ct, Clackamas, OR 97015 Phone: 503-535-3800
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10163 Se Sunnyside Rd, Suite 490, Clackamas, OR 97015 Phone: 800-813-2000 Fax: 503-286-6879

- Medicare Primary Care in Clackamas, OR