NPIMap

Organization Active NPI

Clackamas County

Doing business as Clackamas County Juvenile Department

  • Public Health or Welfare Agency
  • Oregon City, OR
National Provider Identifier
1669777470
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
CLACKAMAS COUNTY
Doing business as
Clackamas County Juvenile Department
Practice address
2121 Kaen Rd
Oregon City, OR 97045-4037
Phone
(503) 655-8342
NPI assigned
Jan 26, 2011
Last updated
Sep 24, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2019

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

Authorized official

Name
Ed Jones
Title
Administrative Services Manager
Phone
(503) 650-3169

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X NU Primary

Addresses

Primary practice location

2121 Kaen Rd
Oregon City, OR 97045-4037

Mailing address

2051 Kaen Rd
Suite 367
Oregon City, OR 97045-4035
Phone (503) 742-5300

Other identifiers 1

IdentifierTypeStateIssuer
500500167MedicaidOR

Other names 1

  • Clackamas County Juvenile Department Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Clackamas Cty MNTL HLTH15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Locations

2121 Kaen Rd
Oregon City, OR 97045
Phone (503) 655-8342

NPI Registry JSON

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569283200000",
    "number": "1669777470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 KAEN RD",
            "address_2": "SUITE 367",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970454035",
            "telephone_number": "503-742-5300",
            "fax_number": "503-742-8350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 KAEN RD",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970454037",
            "telephone_number": "503-655-8342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLACKAMAS COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-26",
        "last_updated": "2019-09-24",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ED",
        "authorized_official_title_or_position": "ADMINISTRATIVE SERVICES MANAGER",
        "authorized_official_telephone_number": "503-650-3169"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500500167",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clackamas County Juvenile Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clackamas County Juvenile Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oregon City, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; 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.