NPI 1477974293

Columbiacare Services

Organisation Psychiatric Residential Treatment Facility Pendleton, OR

Practice location

Address: 2575 Westgate Bldg E, Pendleton, OR 97801-9613
Phone: (541) 858-8170
Mailing address: 3587 Heathrow Way, Medford, OR 97504-4004

Authorised official

Name: Michael David Sewitsky
Title: Finance Manager
Phone: (541) 858-8170

Registered specialties

Psychiatric Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 323P00000X Licence 86761393 (OR)

Other Psychiatric Residential Treatment Facility providers in Oregon →

Registry record

NPI: 1477974293
Entity type: Organization
NPI issued: 20 Dec 2013
Record last updated: 20 Dec 2013

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.