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BEAVERCREEK HEALTH CLINIC
NPI 1720017809
Clinic/Center - Federally Qualified Health Center (FQHC) in Oregon City, OR

Active since July 01, 2006
110 BEAVERCREEK RD STE 100, OREGON CITY, OR 97045(503) 655-8471(503) 655-8595 Get Directions Write a Review

NPPES record last updated: September 24, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Beavercreek Health Clinic NPPES

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

BEAVERCREEK HEALTH CLINIC (NPI 1720017809) is a healthcare organization registered as a federally qualified health center (fqhc) in Oregon City, Oregon and active in the NPI registry since July 2006. The organization lists Ed Johnson, Cfo, as its authorized official.

NPPES Registry Identity

NPI1720017809
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCLACKAMAS COUNTY
Location Address110 BEAVERCREEK RD STE 100Oregon City, OR 97045-4307
Mailing Address2051 Kaen Rd, Suite 367Oregon City, OR 97045-4035 · (503) 742-5300 · Fax (503) 655-8350
Phone(503) 655-8471
Fax(503) 655-8595
Organization SubpartNo
Authorized OfficialEd JohnsonCfo · (503) 742-5325
Enumeration DateJuly 1, 2006
Last NPPES UpdateSeptember 24, 2019
✔ NPI 1720017809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
110 BEAVERCREEK RD STE 100, Oregon City, OR 97045
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Other Names 1

Doing Business AsBeavercreek Health Clinic

Other Identifiers 1

Medicaid022710OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 4

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

COURTNEY RAE KLUM
Registered Nurse (Ambulatory Care)
110 BEAVERCREEK RD STE 100
OREGON CITY, OR 97045
Clackamas County (503) 655-8471
DR. KELSIE B LEDFORD PHARMD
Pharmacist (Ambulatory Care)
110 BEAVERCREEK RD STE 100
OREGON CITY, OR 97045
Clackamas County (503) 655-8471
AMY TRAN RDH
Dental Hygienist
110 BEAVERCREEK RD STE 100
OREGON CITY, OR 97045
Clackamas County (503) 655-8471
MR. KYLE PATRICK JOHNSTONE RDH
Dental Hygienist
110 BEAVERCREEK RD STE 100
OREGON CITY, OR 97045
Clackamas County (503) 722-6313

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 Clackamas County's NPI number?

The NPI number for Clackamas County is 1720017809. It was assigned to this organization in the NPPES registry on July 1, 2006. The provider is doing business as Beavercreek Health Clinic.

Where is Clackamas County located?

Clackamas County is located at 110 Beavercreek Rd Ste 100, Oregon City, OR 97045. The listed phone number is (503) 655-8471.

What is Clackamas County's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

What insurance does Clackamas County accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Clackamas County 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 Clackamas County was last updated on September 24, 2019. 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.