OrganizationActive
Kaiser Permanente
NPI 1265676605 · Special Hospital · Clackamas, OR
Provider details
- NPI number
- 1265676605
- Entity type
- Organization
- Primary specialty
- Special HospitalHospitals
- Organization subpart
- No
- Authorized official
- Johnny Gonzales, Milieu Counselor(503) 571-0858
Specialties & taxonomies
Hospitals
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10180 Se Sunnyside Ave 1st Floor, Wing a
Brookside Center Residential Treatment
Clackamas, OR 97015-9303
Phone: (503) 571-0858
Street-level locationGet directions
Mailing address
Po Box 1366
Oregon City, OR 97045-0097
Registry dates
- Enumerated
- 2009-04-29
- Last updated
- 2009-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.