NPI 1316203508

Brookside Center

Organisation Special Hospital Clackamas, OR

Practice location

Address: 10180 SE Sunnyside Rd 1st Floor, Wing a, Clackamas, OR 97015-8970
Phone: (503) 571-0884
Fax: (503) 571-0866

Authorised official

Name: Johnny Dean Gonzales
Title: Miliue Counselor
Phone: (503) 571-0884

Registered specialties

Special Hospital Primary

Hospitals Taxonomy 284300000X Licence 284300000X (OR)

Other Special Hospital providers in Oregon →

Registry record

NPI: 1316203508
Entity type: Organization
NPI issued: 2 Apr 2012
Record last updated: 1 Jun 2021

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.