Columbiacare Services

NPI #1386720142 in Portland, Oregon

Provider Information

NPI Number: 1386720142
Entity Type: Organization
Organization Name: Columbiacare Services
Primary Specialty: Psychiatric Residential Treatment Facility
Enumeration Date: Oct 27, 2006
Last Updated: May 13, 2009

Practice Location

Address: 12505 SE RAYMOND ST
City: Portland
State: Oregon
ZIP Code: 97236-3931
Phone: (503) 760-8300

Authorized Official

Name: MR. ROBERT C BECKETT
Title: EXECUTIVE DIRECTOR
Phone: (541) 858-8170

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X
Psychiatric Residential Treatment Facility	323P00000X	Primary

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