NPI 1265676605

Kaiser Permanente

Organisation Special Hospital Clackamas, OR

Practice location

Address: 10180 SE Sunnyside Ave 1st Floor, Wing a Brookside Center Residential Treatment, Clackamas, OR 97015-9303
Phone: (503) 571-0858
Mailing address: PO Box 1366, Oregon City, OR 97045-0097

Authorised official

Name: Johnny Dean Gonzales
Title: Milieu Counselor
Phone: (503) 571-0858

Registered specialties

Special Hospital Primary

Hospitals Taxonomy 284300000X

Other Special Hospital providers in Oregon →

Registry record

NPI: 1265676605
Entity type: Organization
NPI issued: 29 Apr 2009
Record last updated: 29 Apr 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.