County of Clatsop

Primary specialty

State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X

Legal business name

COUNTY OF CLATSOP

Doing business as

Clatsop County Dept. of Public Health

Practice address

820 Exchange St
Suite 100
Astoria, OR 97103-4609

Phone

(503) 338-3600

Fax

(503) 325-8678

NPI assigned

Jun 30, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bryan L. Hall

Title

Fiscal Coordinator

Phone

(503) 338-3600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Clatsop County Dept. of Public Health Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397520000000",
    "number": "1164451480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 EXCHANGE ST",
            "address_2": "SUITE 100",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971034609",
            "telephone_number": "503-338-3600",
            "fax_number": "503-325-8678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 EXCHANGE ST",
            "address_2": "SUITE 100",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971034609",
            "telephone_number": "503-338-3600",
            "fax_number": "503-325-8678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF CLATSOP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2014-04-15",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "FISCAL COORDINATOR",
        "authorized_official_telephone_number": "503-338-3600"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0320242",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clatsop County Dept. of Public Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• State or Local Public Health Clinic/Center in Astoria, OR
• Providers in Astoria, OR by specialty
• State or Local Public Health Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.