OrganizationActive
Clackamas County
NPI 1720017809 · Federally Qualified Health Center (FQHC) · Oregon City, OR
Provider details
- NPI number
- 1720017809
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ed Johnson, Cfo(503) 742-5325
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
110 Beavercreek Rd Ste 100
Oregon City, OR 97045-4307
Phone: (503) 655-8471
Fax: (503) 655-8595
Street-level locationGet directions
Mailing address
2051 Kaen Rd
Oregon City, OR 97045-4035
Other names (DBA / former)
- Doing business as
- Beavercreek Health Clinic
- Doing business as
- Beavercreek Health Clinic
Registry dates
- Enumerated
- 2006-07-01
- Last updated
- 2019-09-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.