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KAISER PERMANENTE
NPI 1265676605
Special Hospital in Clackamas, OR

Active since April 29, 2009
10180 SE SUNNYSIDE AVE 1ST FLOOR, WING A, BROOKSIDE CENTER RESIDENTIAL TREATMENT, CLACKAMAS, OR 97015(503) 571-0858 Get Directions Write a Review

NPPES record last updated: April 29, 2009. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Kaiser Permanente NPPES

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

KAISER PERMANENTE (NPI 1265676605) is a healthcare organization registered as a special hospital in Clackamas, Oregon and active in the NPI registry since April 2009. The organization lists Johnny Dean Gonzales, Milieu Counselor, as its authorized official.

NPPES Registry Identity

NPI1265676605
Entity TypeOrganization
Primary Taxonomy284300000X
Legal Business NameKAISER PERMANENTE
Location Address10180 SE SUNNYSIDE AVE 1ST FLOOR, WING A, BROOKSIDE CENTER RESIDENTIAL TREATMENTClackamas, OR 97015-9303
Mailing AddressPo Box 1366Oregon City, OR 97045-0097 · (503) 571-0858
Phone(503) 571-0858
Organization SubpartNo
Authorized OfficialJohnny Dean GonzalesMilieu Counselor · (503) 571-0858
Enumeration DateApril 29, 2009
✔ NPI 1265676605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecial HospitalHospitals
Taxonomy Code284300000X
Definition
A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical.
10180 SE SUNNYSIDE AVE 1ST FLOOR, WING A, Clackamas, OR 97015
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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 Kaiser Permanente's NPI number?

The NPI number for Kaiser Permanente is 1265676605. It was assigned to this organization in the NPPES registry on April 29, 2009.

Where is Kaiser Permanente located?

Kaiser Permanente is located at 10180 SE Sunnyside Ave 1st Floor, Wing A Brookside Center Residential Treatment, Clackamas, OR 97015. The listed phone number is (503) 571-0858.

What is Kaiser Permanente's specialty?

The primary specialty registered for this NPI is Special Hospital with taxonomy code 284300000X.

When was this NPI record last updated?

The NPPES record for Kaiser Permanente was last updated on April 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.