Organization · Type 2 NPI
Columbiacare Services
Mental Illness Community Based Residential Treatment Facility · Portland, OR
NPI number
1700273638
Active
Practice location
17700 NE Halsey St
Portland, OR 97230-6734
Fax (541) 858-8167
Mailing address
3587 Heathrow Way
Medford, OR 97504
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 1700273638
Columbiacare Services's National Provider Identifier is 1700273638, issued on Apr 17, 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 17, 2015.