CLACKAMAS COUNTY

NPI # 

Practice Address:

18911 Portland Ave

Gladstone, OR, 97027-1630

Practice Phone:

503-850-4472

Practice Fax:

503-850-4473

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Federally Qualified Health Center (FQHC)

Taxonomy Code:

261QF0400X