Organization · Type 2 NPI

Columbiacare Services

Mental Illness Community Based Residential Treatment Facility · Portland, OR

NPI number 1225329014 Active

Practice location

15208 SE Tibbetts St
Portland, OR 97236-2356

Call (503) 760-0959 Map

Fax (503) 761-0041

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000X200012 (OR)

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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About NPI 1225329014

Columbiacare Services's National Provider Identifier is 1225329014, issued on Apr 27, 2011. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Portland, OR. The record was last updated on Apr 27, 2011.