Cascadia

Practice location

Address

2330 NE Siskiyou St, Portland, OR 97212-2471

Phone

(503) 528-0757

Mailing address

6902 N Albina Ave, Portland, OR 97217-1604

Authorised official

Name

Lisa Denise Broadous

Title

Residental Counselor 1

Phone

(503) 528-0757

Registered specialties

Registry record

NPI

1013055953

Entity type

Organization

NPI issued

2 Feb 2007

Record last updated

22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.