OrganizationActive
West Linn Clementine, Inc
NPI 1023562147 · Adolescent and Children Mental Health Clinic/Center · West Linn, OR
Provider details
- NPI number
- 1023562147
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mike Bagley, Chief Financial Officer(305) 663-1876
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1148 Rosemont Rd
West Linn, OR 97068-9235
Phone: (971) 249-8448
Fax: (503) 305-7100
Approximate (ZIP-level) locationGet directions
Mailing address
6100 Sw 76th St
South Miami, FL 33143-5002
Other names (DBA / former)
- Doing business as
- Clementine Portland
- Doing business as
- Clementine Portland
Registry dates
- Enumerated
- 2016-08-05
- Last updated
- 2020-03-04
- Certified
- 2020-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.