TELECARE MENTAL HEALTH SERVICES OF OREGON INC. NPI 1124310305

NPI Information

TELECARE MENTAL HEALTH SERVICES OF OREGON, INC. 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. TELECARE MENTAL HEALTH SERVICES OF OREGON, INC. NPI is 1124310305. The provider is registered as an organization entity type.
The provider Is Doing Business As Telecare Multnomah County Crisis Assessment And Treatment Center.

The provider's business location address is:

30 NE MARTIN LUTHER KING BLVD
PORTLAND, OR
ZIP 97232-941
Phone: (503) 232-1099
Fax: (503) 232-3854

The provider's authorized official is Leslie Davis .
The authorized official title is Svp, Cfo and has the following contact phone number (510) 337-7950.

The CLIA number assigned to this NPI record is 38D2036142 - other - residential with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/6/2011 and was last updated on 1/11/2022.

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:

Other Identifiers

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