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NPI Code Detail

MEDICARE: COUNTY OF CLACKAMAS OFFICE OF COUNTY AUDITOR

MEDICARE: COUNTY OF CLACKAMAS OFFICE OF COUNTY AUDITOR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QF0400XFederally Qualified Health Center (FQHC)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043566847
Entity Type Code : Organization
Provider Name (Legal Business Name) : COUNTY OF CLACKAMAS OFFICE OF COUNTY AUDITOR
Provider Business Mailing Address
First Line : 2051 KAEN RD STE 367
Second Line :
City : OREGON CITY
State : OR
Zip : 97045-4035
Country : US
Telephone Number : 503-742-5300
Fax Number : 503-655-8350
Provider Business Practice Location Address
First Line : 39740 PLEASANT ST
Second Line :
City : SANDY
State : OR
Zip : 97055-6412
Country : US
Telephone Number : 503-668-3483
Fax Number : 503-668-1892
Authorized Official
Title or Position : DIRECTOR - INTERIM
Name : SARAH JACOBSON
Credential :
Telephone Number : 503-201-1890
Provider Enumeration Date : 07/30/2012
Last Update Date : 05/07/2026

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Directions to “COUNTY OF CLACKAMAS OFFICE OF COUNTY AUDITOR ” Practice Location

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