NPI 1386787596

Columbiacare Services

Organisation Psychiatric Residential Treatment Facility North Bend, OR

Practice location

Address: 1592 Monroe St, North Bend, OR 97459-3657
Phone: (541) 756-2048
Fax: (541) 756-2022
Mailing address: 3587 Heathrow Way, Medford, OR 97504

Authorised official

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

Registered specialties

Psychiatric Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 323P00000X Licence 889 (OR)

Other Psychiatric Residential Treatment Facility providers in Oregon →

Registry record

NPI: 1386787596
Entity type: Organization
NPI issued: 15 Feb 2007
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.