CASCADIA BEHAVIORAL HEALTHCARE INC NPI 1942349147

NPI Information

NPI: 1942349147
Provider Name: CASCADIA BEHAVIORAL HEALTHCARE INC

Other Name: COLUMBIA RIVER CORRECTIONAL FACILITY

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 38D2198728

Address:
9111 NE SUNDERLAND RD
PORTLAND, OR
ZIP 97211
Phone: (503) 280-6646
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CASCADIA BEHAVIORAL HEALTHCARE INC is a multi-specialty clinic center in Portland, OR. CASCADIA BEHAVIORAL HEALTHCARE INC NPI is 1942349147. The provider is registered as an organization entity type.
The provider Other Name Is Columbia River Correctional Facility.

The provider's business location address is:

9111 NE SUNDERLAND RD
PORTLAND, OR
ZIP 97211-708
Phone: (503) 280-6646
Fax: (503) 280-6081

The provider's authorized official is Enrique Sama .
The authorized official title is Vp, Human Resources and has the following contact phone number (503) 963-7791.

The CLIA number assigned to this NPI record is 38D2198728 - prison with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/5/2007 and was last updated on 6/12/2008.

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	261QM1300X	Clinic/Center	Multi-Specialty			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
1	226398	MEDICAID	OREGON
2	223347	MEDICAID	OREGON
3	0000WCGZL	MEDICARE PIN	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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