Clackamas County
Clinic/Center, Federally Qualified Health Center (FQHC) in Sandy, OR. Organization (NPI-2).
NPI number1841442001
StatusActive
Last updated in NPPESDec 1, 2022
Details
- NPI
- 1841442001
- Entity type
- Organization (NPI-2)
- Legal business name
- Clackamas County
- Organization subpart
- No
- Enumeration date
- Oct 21, 2008
- Certification date
- Dec 1, 2022
- Last updated
- Dec 1, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
Other names
- Sandy Behavioral Health Center (Doing Business As)
- Sandy Behavioral Health Clinic (Doing Business As)
Practice location
39740 Pleasant StSandy, OR 97055-6412
Phone 503-722-6937 · Fax 503-722-6850
Mailing address
2051 Kaen RdSuite 367
Oregon City, OR 97045-4035
Phone 503-742-5300 · Fax 503-655-8350
Authorized official
Sarah Jacobson
Director - Interim
5032011890
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