CASCADIA BEHAVIORAL HEALTHCARE (NPI# 1073659744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073659744 |
| Entity Type | Organization |
| Organization Name | CASCADIA BEHAVIORAL HEALTHCARE |
| Practice Address |
945 Ne 165th Ave Portland OR 97230-6148 |
| Mailing Address |
2322 Se 89th Ave Portland OR 97216-2016 |
| Practice Telephone | 5034088100 |
| Mailing Telephone | 5037883187 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. SHARUNDAH MICHELLE ROBERTSON (RESIDENT COUNCELOR 1) |
| Authorized Official Telephone | 5037883187 |
| Authorized Official Credential | VARIES |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275899304 | Cascadia Behavioral Healthcare | Community Based Residential Treatment Facility, Mental Illness | 18980 Leland Rd, Oregon City, OR 97045-8511 | 2012-04-03 |
| 1447525506 | Cascadia Behavioral Healthcare | Community Based Residential Treatment Facility, Mental Illness | 5230 Se Roethe Rd, Milwaukie, OR 97267-5051 | 2012-03-21 |
| 1265570287 | Cascadia Behavioral Healthcare | Exclusive Provider Organization | 3324 Se Waverleigh Blvd, Portland, OR 97202-1973 | 2007-02-02 |
| 1821354523 | Cascadia Behavioral Healthcare | Clinic/Center | 17070 Se Mcloughlin Blvd, Milwaukie, OR 97267-4960 | 2012-04-06 |
| 1972878031 | Cascadia Behavioral Healthcare | Community Based Residential Treatment Facility, Mental Illness | 304 Pearl St, Oregon City, OR 97045-2684 | 2012-03-21 |
| 1073888137 | Cascadia Behavioral Healthcare | Community Based Residential Treatment Facility, Mental Illness | 1020 Portland Ave, Gladstone, OR 97027-2155 | 2012-03-21 |
| 1922265685 | Cascadia Behavioral Healthcare | Nursing Facility/Intermediate Care Facility | 2375 Nw Glisan St, Portland, OR 97210-3420 | 2008-05-20 |
| 1922136662 | Cascadia Behavioral Healthcare | Counselor | 509 Ne Alberta St, Portland, OR 97211-3976 | 2007-03-02 |
| 1043347958 | Cascadia Behavioral Healthcare | Case Management | 2415 Se 43rd Ave, Portland, OR 97206-1600 | 2007-02-27 |
| 1003955782 | Cascadia Behavioral Healthcare | Community/Behavioral Health | 2100 Se Belmont St, Portland, OR 97214-2815 | 2007-02-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | CASCADIA BEHAVIORAL HEALTHCARE | Attention Michael Kleinschmit, 847 Ne 19th Ave, Portland, OR 97232 |
| System for Award Management (SAM) Entities | CASCADIA BEHAVIORAL HEALTHCARE, INC. | 847 Ne 19th Ave Ste 100, Portland, OR 97232-2684 |
| Oregon Corporations, Companies and Business Names | CASCADIA BEHAVIORAL HEALTHCARE, INC. | 847 Ne 19th #100, Portland, OR 97232 |
| Street Address |
945 NE 165TH AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97230-6148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841385507 | Elizabeth Joan Miller | Counselor | 945 Ne 165th Ave, Portland, OR 97230-6148 | 2006-10-04 |
| 1760005458 | Sebastian Cc Borden | Adult Companion | 945 Ne 165th Ave, Portland, OR 97230-6148 | 2020-05-28 |
| 1346863958 | Kendra G Herigstad | Case Manager/Care Coordinator | 945 Ne 165th Ave, Portland, OR 97230-6148 | 2020-05-19 |
| 1326661935 | Agnieszka Z Axer | Adult Companion | 945 Ne 165th Ave, Portland, OR 97230-6148 | 2020-05-19 |
| 1124648902 | Arianne K Belt | Adult Companion | 945 Ne 165th Ave, Portland, OR 97230-6148 | 2020-04-21 |
| 1043857568 | Kaeli Graffuis | Adult Companion | 945 Ne 165th Ave, Portland, OR 97230-6148 | 2019-12-03 |
| 1083025175 | Briana Lanae Shepherd | Adult Companion | 945 Ne 165th Ave, Portland, OR 97230-6148 | 2014-05-12 |
| 1336565712 | Shawn Kelly | Adult Companion | 945 Ne 165th Ave, Portland, OR 97230-6148 | 2014-03-10 |
| 1851713655 | Huruy Kidane | Adult Companion | 945 Ne 165th Ave, Portland, OR 97230-6148 | 2014-01-13 |
| 1992126049 | Sarena Mestas | Counselor | 945 Ne 165th Ave, Portland, OR 97230-6148 | 2013-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932687233 | Timisha K Wilson | Social Worker | 12505 Ne Halsey St, Portland, OR 97230 | 2018-07-30 |
| 1356828768 | Sally Gail Logan | Pharmacist | 5725 Ne 138th Avenue, Portland, OR 97230 | 2018-07-27 |
| 1063937951 | Marley Elizabeth Small | Counselor | 1507 Ne 122nd Ave., Portland, OR 97230 | 2017-08-11 |
| 1447771316 | Shadab Nasreen Aijazi | Pathology | 5220 Ne 122nd Avenue, Portland, OR 97230 | 2017-06-30 |
| 1104378199 | Derek Andrus | Pharmacist | 5717 Nw 138th, Portland, OR 97230 | 2016-10-26 |
| 1164972675 | Rachael Anderson | Adult Companion | 423 Ne 160th Ave #11, Portland, OR 97230 | 2016-10-07 |
| 1750837597 | Providence Elderplace | Assisted Living Facility | 16430 Ne Hoyt St, Portland, OR 97230 | 2016-08-31 |
| 1649622473 | Sara Mcgroarty | Counselor | 17710 Ne Halsey Street, Portland, OR 97230 | 2016-07-05 |
| 1346699949 | Steven D Stanton | Counselor | 1022 Ne 181st Ave, C1, Portland, OR 97230 | 2016-06-06 |
| 1215390091 | The Wallace Medical Concern | Clinic/Center | 18139 Ne Couch Street, Portland, OR 97230 | 2016-03-30 |
| Find all providers in zip 97230 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558732966 | John William Thompson | Community Based Residential Treatment Facility, Mental Illness | 5538 Ne 24th Ave, Portland, OR 97211-6206 | 2015-10-12 |
| 1679941785 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 130 Se 119th Ave, Portland, OR 97216-3704 | 2015-09-04 |
| 1346637816 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 17710 Halsey Crc, Portland, OR 97230 | 2015-04-22 |
| 1700273638 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 17700 Ne Halsey St, Portland, OR 97230-6734 | 2015-04-17 |
| 1447654504 | Cascadia Behavioral Health Care | Community Based Residential Treatment Facility, Mental Illness | 7405 Se 84th Ave, Portland, OR 97266-5840 | 2014-10-20 |
| 1386047132 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 3530 Se 136th Ave. #5, Portland, OR 97236 | 2014-10-07 |
| 1821491853 | Florence Mutie | Community Based Residential Treatment Facility, Mental Illness | 5123 Sw 62nd Ave, Portland, OR 97221-1170 | 2014-10-05 |
| 1679983381 | Janus Youth Program | Community Based Residential Treatment Facility, Mental Illness | 142 Se 160th Ave Apt 24, Portland, OR 97233-3558 | 2014-05-02 |
| 1558606384 | Renew Consulting, Inc. | Community Based Residential Treatment Facility, Mental Illness | 12810 Sw 62nd Ave, Portland, OR 97219-8034 | 2012-12-05 |
| 1558686576 | Mentor Abi | Community Based Residential Treatment Facility, Mental Illness | 9125 Sw 55th Ave, Portland, OR 97219-5018 | 2010-04-01 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.