NPI 1114377637
Columbiacare Services
Practice location
- Address
- 2525 Portland St, Eugene, OR 97405-3153
- Phone
- (541) 858-8170
- Fax
- (541) 858-8167
- Mailing address
- 3587 Heathrow Way, Medford, OR 97504-4004
Authorised official
- Name
- Mike David Sewitsky
- Title
- Finance Manager
- Phone
- (541) 858-8170
Registered specialties
Mental Illness Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1114377637
- Entity type
- Organization
- NPI issued
- 15 Jun 2016
- Record last updated
- 15 Jun 2016
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.