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COLUMBIACARE SERICES NPI 1336512326


NPI Information

NPI: 1336512326
Provider Name: COLUMBIACARE SERICES
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization

CLIA Number: 38D2094667

Address:
14626 SE POWELL BLVD
PORTLAND, OR
ZIP 97236
Phone: (541) 858-8170
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COLUMBIACARE SERICES is a community based residential treatment facility mental illness in Portland, OR. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. COLUMBIACARE SERICES NPI is 1336512326. The provider is registered as an organization entity type.

The provider's business location address is:

14626 SE POWELL BLVD
PORTLAND, OR
ZIP 97236-572
Phone: (541) 858-8170
Fax: (541) 858-8167

The provider's authorized official is Mike David Sewitsky .
The authorized official title is Finance Manager and has the following contact phone number (541) 858-8170.

The CLIA number assigned to this NPI record is 38D2094667 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/12/2015 and was last updated on 11/12/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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