Organization · Type 2 NPI

Columbiacare Services

Mental Illness Community Based Residential Treatment Facility · Portland, OR

NPI number 1679941785 Active

Practice location

130 SE 119th Ave
Portland, OR 97216-3704

Call (541) 858-8170 Map

Fax (541) 858-8167

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000XNone 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 1679941785

Columbiacare Services's National Provider Identifier is 1679941785, issued on Sep 4, 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 Sep 4, 2015.