SUNNYSIDE HEALTH CLINIC
NPI 1891042487
Clinic/Center - Federally Qualified Health Center (FQHC) in Clackamas, OR

Q: What is Clackamas County's NPI number?

The NPI number for Clackamas County is 1891042487. It was assigned to this organization in the NPPES registry on August 14, 2012. The provider is doing business as Sunnyside Health Clinic.

Q: 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.

Q: 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.

Active since August 14, 2012

9775 SE SUNNYSIDE RD STE 200, CLACKAMAS, OR 97015(503) 794-3830(503) 794-3850 Get Directions Write a Review

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

On this page

About Sunnyside Health Clinic NPPES

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

SUNNYSIDE HEALTH CLINIC (NPI 1891042487) is a healthcare organization registered as a federally qualified health center (fqhc) in Clackamas, Oregon and active in the NPI registry since August 2012. The organization lists Ed Johnson, Cfo, as its authorized official.

NPPES Registry Identity

NPI1891042487

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameCLACKAMAS COUNTY

Location Address9775 SE SUNNYSIDE RD STE 200Clackamas, OR 97015-5721

Mailing Address2051 Kaen Rd Ste 367Oregon City, OR 97045-4035 · (503) 742-5300 · Fax (503) 655-8350

Phone(503) 794-3830

Fax(503) 794-3850

Organization SubpartNo

Authorized OfficialEd JohnsonCfo · (503) 742-5325

Enumeration DateAugust 14, 2012

Last NPPES UpdateSeptember 24, 2019

✔ NPI 1891042487 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

9775 SE SUNNYSIDE RD STE 200, Clackamas, OR 97015

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Other Names 1

Doing Business AsSunnyside Health Clinic

Other Identifiers 4

Medicaid022710OR

Medicaid131607OR

Medicaid031799OR

Medicaid500653393OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Regence BlueCross BlueShield of Oregon.Insurance ›

Other Providers at the Same Location NPPES 14

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

MISS WENDY ANNE BATCHELOR SMITH R.N.

Registered Nurse (Community Health)