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CLEMENTINE PORTLAND
NPI 1023562147
Clinic/Center - Adolescent and Children Mental Health in West Linn, OR

Active since August 05, 2016
1148 ROSEMONT RD, WEST LINN, OR 97068(971) 249-8448(503) 305-7100 Get Directions Write a Review

NPPES record last updated: March 4, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 4, 2020, Feb 27, 2020, Aug 24, 2016 (3 updates tracked since 2016).

About Clementine Portland NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLEMENTINE PORTLAND (NPI 1023562147) is a healthcare organization registered as an adolescent and children mental health in West Linn, Oregon and active in the NPI registry since August 2016. The organization lists Mike Bagley, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1023562147
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameWEST LINN CLEMENTINE, INC
Location Address1148 ROSEMONT RDWest Linn, OR 97068-9235
Mailing Address6100 Sw 76th StSouth Miami, FL 33143-5002 · (305) 663-1876
Phone(971) 249-8448
Fax(503) 305-7100
Organization SubpartNo
Authorized OfficialMike BagleyChief Financial Officer · (305) 663-1876
Enumeration DateAugust 5, 2016
Last NPPES UpdateMarch 4, 20203 updates tracked since enumeration
NPPES CertifiedMarch 4, 2020
✔ NPI 1023562147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
1148 ROSEMONT RD, West Linn, OR 97068
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Other Names 1

Doing Business AsClementine Portland

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HARMONY RACHEL NELSON RN
Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)
1148 ROSEMONT RD
WEST LINN, OR 97068
Clackamas County (971) 249-8448

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is West Linn Clementine, Inc's NPI number?

The NPI number for West Linn Clementine, Inc is 1023562147. It was assigned to this organization in the NPPES registry on August 5, 2016. The provider is doing business as Clementine Portland.

Where is West Linn Clementine, Inc located?

West Linn Clementine, Inc is located at 1148 Rosemont Rd, West Linn, OR 97068. The listed phone number is (971) 249-8448.

What is West Linn Clementine, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

What insurance does West Linn Clementine, Inc accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list West Linn Clementine, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for West Linn Clementine, Inc was last updated on March 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.