Clackamas Service Center

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

License

LD-D-10148063 Issued in OR

Legal business name

CLACKAMAS SERVICE CENTER

Practice address

8800 SE 80TH Ave
Portland, OR 97206-9270

Phone

(503) 771-7914

Fax

(503) 771-8606

NPI assigned

May 1, 2012

Organization subpart

No

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

Authorized official

Name

Andrew Catts

Title

Executive Director

Phone

(503) 799-3585

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335830400000",
    "number": "1821356536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2620",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970152620",
            "telephone_number": "503-771-7914",
            "fax_number": "503-771-8606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 SE 80TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972069270",
            "telephone_number": "503-771-7914",
            "fax_number": "503-771-8606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLACKAMAS SERVICE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-01",
        "last_updated": "2012-05-01",
        "status": "A",
        "authorized_official_last_name": "CATTS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "503-799-3585"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "OR",
            "license": "LD-D-10148063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City of Portland Oregon
• City of Roses Psychological Services LLC
• Carol Claassen
• Juli Ann Claborne
• Clackamas Center for Traditional Medicine, Inc
• Leah Clampitt
• Lyndsey Clapier
• Diana Lynn Clapp, DNP
• Naomi Clapp
• Eric Clardy

• Public Health or Welfare Agency in Portland, OR
• Providers in Portland, OR by specialty
• Public Health or Welfare Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; 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.