NPI 1477832947
Columbiacare Services
Practice location
- Address
- 4199 SE King Rd, Milwaukie, OR 97222-5892
- Phone
- (503) 786-3830
- Mailing address
- 3587 Heathrow Way, Medford, OR 97504-4004
Authorised official
- Name
- Robert C Beckett
- Title
- Executive Director
- Phone
- (541) 858-8170
Registered specialties (2)
Mental Illness Community Based Residential Treatment Facility
Primary
Psychiatric Residential Treatment Facility
Registry record
- NPI
- 1477832947
- Entity type
- Organization
- NPI issued
- 15 Aug 2011
- Record last updated
- 15 Aug 2011
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.