Organization · Type 2 NPI

Telecare Mental Health Services of Oregon, Inc

Mental Illness Community Based Residential Treatment Facility · Portland, OR

NPI number 1659453686 Active

Practice location

7759 SE 72nd Ave
Portland, OR 97206-7921

Call (503) 788-4500 Map

Fax (503) 788-4506

Mailing address

1080 Marina Village Pkwy Ste 100
Alameda, CA 94501-1078

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.

41 other providers at this address

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NPI record

NPI: 1659453686
Entity type: Organization (Type 2)
Issued: Oct 19, 2006
Last updated: May 17, 2023
Status: Active

Other names

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72nd Ave Recovery Center · doing business as
72nd Ave Recovery Center · doing business as

Authorized official

Lorena Lopez
Provider Relations Supervisor
(510) 337-7950

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1659453686

Telecare Mental Health Services of Oregon, Inc's National Provider Identifier is 1659453686, issued on Oct 19, 2006. 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 May 17, 2023.