OrganizationActive
Kaiser Foundation Hospitals
NPI 1659528693 · Mental Illness Community Based Residential Treatment Facility · Clackamas, OR
Provider details
- NPI number
- 1659528693
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Parent organization
- Kaiser Foundation Hospitals
- Organization subpart
- Yes
- Authorized official
- Shawn Barton, Executive Director, Revenue Cycle(800) 813-2000
Specialties & taxonomies
Residential Treatment Facilities
- Substance Abuse Rehabilitation Facility324500000X
Residential Treatment Facilities
Profile Score
Detailed profile(87/100 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 Rd
Clackamas, OR 97015-9303
Phone: (503) 571-1999
Fax: (503) 571-5508
Street-level locationGet directions
Mailing address
10180 Se Sunnyside Rd
Clackamas, OR 97015-9303
Other names (DBA / former)
- Doing business as
- Brookside Treatment Facility
- Doing business as
- Brookside Treatment Facility
Registry dates
- Enumerated
- 2008-08-21
- Last updated
- 2022-06-23
- Certified
- 2022-06-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.