OrganizationActive
County of Clackamas Office of County Auditor
NPI 1275880866 · Federally Qualified Health Center (FQHC) · Gladstone, OR
Provider details
- NPI number
- 1275880866
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Authorized official
- Ed Johnson, Cfo
Practice location
18911 Portland Ave
Gladstone, OR 97027-1630
Phone: (503) 850-4472
Fax: (503) 850-4473
Mailing address
2051 Kaen Rd Ste 367
Oregon City, OR 97045-4035
Registry dates
- Enumerated
- 2012-08-14
- Last updated
- 2026-05-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.