NPI 1043145501

Pacific Community Care LLC

Organisation Mental Illness Community Based Residential Treatment Facility Portland, OR

Practice location

Address: 12717 SE Lincoln St, Portland, OR 97233-1372
Phone: (503) 734-5698
Fax: (503) 207-6192
Mailing address: 10017 NE 13th Ave, Portland, OR 97211-1563

Authorised official

Name: Eric Manzi
Title: Director of Operations
Phone: (503) 734-5698

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X

Other Community Based Residential Treatment Facility, Mental Illness providers in Oregon →

Registry record

NPI: 1043145501
Entity type: Organization
NPI issued: 16 Jun 2026
Record last updated: 16 Jun 2026

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.