Columbiacare Services - Portland, OR

Columbiacare Services

Mental Illness Community Based Residential Treatment Facility in Portland, Oregon

NPI 1225329014

Columbiacare Services is a Mental Illness Community Based Residential Treatment Facility based in Medford, OR. Columbiacare Services practices in Portland, OR. The NPI Number for Columbiacare Services is 1225329014 and holds a License No. 200012 (Oregon).

The current practice location address for Columbiacare Services is 15208 Se Tibbetts St, Portland, OR and can be reached out via phone at 503-760-0959 and via fax at 503-761-0041.

Location: 15208 Se Tibbetts St, Portland, OR, 97504-4004

NPI Number

1225329014

Provider Name

Columbiacare Services

Credential

Provider Entity Type

Organization

Address

15208 Se Tibbetts St, Portland, OR, 97504-4004

Phone Number

503-760-0959

Fax Number

503-761-0041

Provider Enumeration Date

04/27/2011

Last Update Date

03/09/2024

Identifier	Type	State	Issuer
518374	01	OR	CENTENIAL SERVICE PMT

Address

15208 Se Tibbetts St

City

Portland

State

Oregon

Zip

97236-2356

Phone Number

503-760-0959

Fax Number

503-761-0041

Address

15208 Se Tibbetts St

City

Portland

State

Oregon

Zip

97236-2356

Phone Number

503-760-0959

Fax Number

503-761-0041

Type

Residential Treatment Facilities

Classification

Community Based Residential Treatment Facility, Mental Illness

Speciality

Taxonomy

320800000X

License No.

200012 (Oregon)

Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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