NPI 1386720142

Columbiacare Services

Organisation Psychiatric Residential Treatment Facility Portland, OR

Practice location

Address: 12505 SE Raymond St, Portland, OR 97236-3931
Phone: (503) 760-8300
Fax: (503) 760-8308
Mailing address: 3587 Heathrow Way, Medford, OR 97504

Authorised official

Name: Robert C Beckett
Title: Executive Director
Phone: (541) 858-8170

Registered specialties (2)

Psychiatric Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 323P00000X Licence 801 (OR)

Other Psychiatric Residential Treatment Facility providers in Oregon →

Mental Illness Community Based Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320800000X Licence 801 (OR)

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

Registry record

NPI: 1386720142
Entity type: Organization
NPI issued: 27 Oct 2006
Record last updated: 13 May 2009

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.