Organization · Type 2 NPI
Columbiacare Services
Mental Illness Community Based Residential Treatment Facility · Tigard, OR
NPI number
1740679182
Active
Practice location
11380 SE Greenburg Rd #9
Tigard, OR 97223
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 1740679182
Columbiacare Services's National Provider Identifier is 1740679182, issued on Jan 22, 2015. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Tigard, OR. The record was last updated on Jan 22, 2015.