Children’s hospital · OR
Clackamas Street Based Outreach Administration
Filed as CENTRAL CITY CONCERN.
Taking partNoTermination date filed1 January 2026Last certified10 February 2025
- 0Registered locations
- 3Associated locations
- 0Contract pharmacies
- 0With no end date
- 1 January 2025In 340B since
Finances, as filed
This entity type does not file a Medicare cost report; no finances are recorded.
Changes recorded
Nothing on this record has moved since it was first read here on 6 September 2026.
Cite this page
Velarion Records, “Clackamas Street Based Outreach Administration”, citing the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx, stamped by its publisher 2026-09-07. https://velarionrecords.com/340b/CH10766AD. Accessed 8 September 2026.
Register detail and identifiers
Participation, as filed
- Participating
- FALSE
- Participation start date
- 1 January 2025
- Termination date
- 1 January 2026
- Termination reason
- Business decision by the Covered Entity
- Certification date
- 10 February 2025
- Record last edited
- 1 January 2026
Identifiers
- 340B ID
- CH10766AD
- Entity type as filed
- CH
- Site ID
- BPS-H80-038997
- Grant number
- H80CS00234
- NPI
- 1114230331 (OR), 1437624046 (OR), 1881658276 (OR)
19220 McLoughlin Blvd, Gladstone OR 97027
Associated locations
| Blackburn Center | 12121 E Burnside | Portland OR 97216 |
| Clackamas Street Based Outreach Administration | 19220 McLoughlin Blvd | Gladstone OR 97027 |
| Old Town Clinic | 727 W Burnside St | Portland OR 97209 |
Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx, stamped by its publisher 7 September 2026. This record has been read here since 6 September 2026.