COLUMBIACARE SERVICES NPI 1275620411

NPI Information

NPI: 1275620411
Provider Name: COLUMBIACARE SERVICES

Other Name: COLUMBIA ROSE

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
12511 SE RAYMOND ST
PORTLAND, OR
ZIP 97236
Phone: (503) 761-2580
Get Directions

COLUMBIACARE SERVICES 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 SERVICES NPI is 1275620411. The provider is registered as an organization entity type.
The provider Other Name Is Columbia Rose.

The provider's business location address is:

12511 SE RAYMOND ST
PORTLAND, OR
ZIP 97236-931
Phone: (503) 761-2580
Fax: (503) 761-2584

The provider's authorized official is Robert C Beckett .
The authorized official title is Executive Director and has the following contact phone number (541) 858-8170.

The enumeration date for this NPI number is 10/9/2006 and was last updated on 5/13/2009.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	323P00000X	Psychiatric Residential Treatment Facility		792	OREGON	No
2	320800000X	Community Based Residential Treatment Facility, Mental Illness		792	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	516051	OTHER	OREGON	C ROSE SERVICE PMT
2	213045	MEDICAID	OREGON

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

NPI Synchronization or Removal

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