Organization · Type 2 NPI
Columbiacare Services
Mental Illness Community Based Residential Treatment Facility · Portland, OR
NPI number
1346637816
Active
Practice location
17710 Halsey Crc
Portland, OR 97230
Fax (541) 858-8167
Mailing address
3587 Heathrow Way
Medford, OR 97504-4004
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | None listed |
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 1346637816
Columbiacare Services's National Provider Identifier is 1346637816, issued on Apr 22, 2015. 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 22, 2015.