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

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: November 01, 2026.

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
Open in Google Maps ↗

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 BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sunnyside Health Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

130

Medicare enrollment records show 130 clinicians reassign Medicare billing to Sunnyside Health Clinic, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 110 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 10

Clinical Social Worker61
Mental Health Counselor21
Nurse Practitioner19
Family Practice13
Psychiatry7
Marriage and Family Therapist4
Pediatric Medicine2
Certified Nurse Midwife (CNM)1
2 other specialties2

Nearest to this location (20)

See all 130
Angela Amundson, FNP
Nurse Practitioner
NPI 1366886293
9775 SE SUNNYSIDE RD SUITE 200
Clackamas, OR 97015
(503) 655-8471
✔ PECOS✔ Accepts MedicareSame address
John Anderson, MD
Family Practice
NPI 1992744056
9775 SE SUNNYSIDE ROAD, SUITE 200
Clackamas, OR 97015
(503) 655-8471
✔ PECOS✔ Accepts MedicareSame address
Brian Bizub, MD
Family Practice
NPI 1891377784
9775 SE SUNNYSIDE RD STE 200
Clackamas, OR 97015
(503) 655-8471
✔ PECOS✔ Accepts MedicareSame address
Mary Leone, FNP
Nurse Practitioner
NPI 1033689153
9775 SE SUNNYSIDE RD STE 200
Clackamas, OR 97015
(503) 535-3800
✔ PECOS✔ Accepts MedicareSame address
June Mobley, CADCI
Clinical Social Worker
NPI 1922149699
9775 SE SUNNYSIDE RD STE 200
Clackamas, OR 97015
(503) 655-8471
✔ PECOS✔ Accepts MedicareSame address
Alex Pandzik, NP
Nurse Practitioner
NPI 1770716763
9775 SE SUNNYSIDE RD SUITE 200
Clackamas, OR 97015
(503) 655-8471
✔ PECOS✔ Accepts MedicareSame address
Allison Ulrich, LCSW
Clinical Social Worker
NPI 1720544331
9775 SE SUNNYSIDE RD STE 200
Clackamas, OR 97015
(503) 665-8471
✔ PECOS✔ Accepts MedicareSame address
Aubrey Miller, MD
Family Practice
NPI 1083103287
9775 SE SUNNYSIDE RD
Clackamas, OR 97015
(503) 655-8471
✔ PECOS✔ Accepts MedicareSame address
Kathryn Whipple
Clinical Social Worker
NPI 1093981169
9775 SUNNYSIDE ROAD, SUITE 200
Clackamas, OR 97015
(503) 739-3833
✔ PECOS✔ Accepts Medicare0.1 mi
Jacob Reese, LCSW
Clinical Social Worker
NPI 1346612652
11211 SE 82ND AVE STE 0
Portland, OR 97086
(503) 722-6200
✔ PECOS1.0 mi
Paul Stewart, LCSW, CADCIII
Clinical Social Worker
NPI 1134327075
11211 SE 82ND AVE SUITE O
Happy Valley, OR 97086
(503) 722-6200
✔ PECOS✔ Accepts Medicare1.0 mi
Berenice Mendoza Cabello
Clinical Social Worker
NPI 1437555091
11211 SE 82ND AVE STE 0
Happy Valley, OR 97086
(503) 722-6200
✔ PECOS✔ Accepts Medicare1.0 mi
Navaz Behramkamdin, MA, LPC
Mental Health Counselor
NPI 1255517389
11211 SE 82ND AVE STE O
Happy Valley, OR 97086
(503) 261-0579
✔ PECOS✔ Accepts Medicare1.0 mi
Miranda Foust, PMHNP-BC
Nurse Practitioner
NPI 1386812329
11211 SE 82ND AVE STE O
Happy Valley, OR 97086
(503) 655-8585
✔ PECOS1.0 mi
Veronica Gentle
Clinical Social Worker
NPI 1619006111
13850 SE AUTUMN RIDGE TER
Milwaukie, OR 97267
(503) 974-9250
✔ PECOS✔ Accepts Medicare1.4 mi
Sarah Powers, M.D.
Pediatric Medicine
NPI 1861629586
9300 SE 91ST AVE STE 200
Portland, OR 97086
(503) 261-1171
✔ PECOS1.4 mi
Sarah Brown, CADC
Mental Health Counselor
NPI 1164855193
6605 SE LAKE RD
Milwaukie, OR 97222
(503) 655-8401
✔ PECOS1.6 mi
Robert Duffy, D.O.
Psychiatry
NPI 1487073235
6605 SE LAKE RD
Milwaukie, OR 97222
(503) 655-8401
✔ PECOS✔ Accepts Medicare1.6 mi
Maria Prokhorova, MD
Psychiatry
NPI 1114021342
6605 SE LAKE RD
Milwaukie, OR 97222
(503) 655-8401
✔ PECOS1.6 mi
Eleni Speropulos
Marriage and Family Therapist
NPI 1275953366
6605 SE LAKE RD
Milwaukie, OR 97222
(503) 655-8401
✔ PECOS✔ Accepts Medicare1.6 mi
See all 130 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Where is Clackamas County located?

Clackamas County is located at 9775 SE Sunnyside Rd Ste 200, Clackamas, OR 97015. The listed phone number is (503) 794-3830.

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.

Is Clackamas County enrolled in Medicare?

Yes. Clackamas County is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Clackamas County?

According to the CMS Revalidation Reassignment List (October 2026 release), 130 clinicians in 10 Medicare specialties reassign their Medicare billing to Clackamas County. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (61), Mental Health Counselor (21) and Nurse Practitioner (19). Of these, 8 practice at this address and 110 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Clackamas County accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon 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 7 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.