CLACKAMAS COUNTY NPI 1801142781

NPI Information

  • NPI: 1801142781
  • Provider Name: CLACKAMAS COUNTY
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Doing Business As: CLACKAMAS CRISIS WALK-IN CLINIC
  • CLIA Number: 38D2329622
  • Address: 11211 SE 82ND AVE STE O
    HAPPY VALLEY, OR
    ZIP 97086
  • Phone: (503) 722-6200

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NPI Details

CLACKAMAS COUNTY is a mental health (including community mental health center) clinic center in Happy Valley, OR. CLACKAMAS COUNTY NPI is 1801142781. The provider is registered as an organization entity type.
The provider Is Doing Business As Clackamas Crisis Walk-in Clinic.

The provider's business location address is:

11211 SE 82ND AVE STE O
HAPPY VALLEY, OR
ZIP 97086-624
Phone: (503) 722-6200
Fax: (503) 722-6545

The provider's authorized official is Ed Johnson .
The authorized official title is Cfo and has the following contact phone number (503) 742-5325.

The CLIA number assigned to this NPI record is 38D2329622 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/30/2012 and was last updated on 9/24/2019.

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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)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
1500727087MEDICAIDOREGON

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: 11/21/2025

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