COASTAL INTENSIVE SERVICES NPI 1689412850

NPI Information

  • NPI: 1689412850
  • Provider Name: COASTAL INTENSIVE SERVICES
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Organization
  • Address: 3880 SE 8TH AVE
    PORTLAND, OR
    ZIP 97202
  • Phone: (503) 789-6850

Map and Directions

Get Directions

NPI Details

COASTAL INTENSIVE SERVICES is an addiction (substance use disorder) counselor in Portland, OR. COASTAL INTENSIVE SERVICES NPI is 1689412850. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3880 SE 8TH AVE
PORTLAND, OR
ZIP 97202-772
Phone: (503) 789-6850

The provider's authorized official is Sarah Von Colditz .
The authorized official title is Owner and has the following contact phone number (503) 789-6850.

The enumeration date for this NPI number is 7/19/2024 and was last updated on 7/19/2024.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)Yes
2101YM0800XCounselorMental HealthNo
3104100000XSocial WorkerNo
4261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo

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
11104224393MEDICAIDOREGON
21770810723OTHEROTHER

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI