NPI 1588069801

Columbiacare Services

Organisation Psychiatric Residential Treatment Facility Portland, OR

Practice location

Address: 17640 NE Halsey St, Portland, OR 97230-6733
Phone: (541) 858-8170
Mailing address: 3587 Heathrow Way, Medford, OR 97504-4004

Authorised official

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

Registered specialties

Psychiatric Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 323P00000X

Other Psychiatric Residential Treatment Facility providers in Oregon →

Registry record

NPI: 1588069801
Entity type: Organization
NPI issued: 29 Oct 2014
Record last updated: 29 Oct 2014

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.