COLUMBIACARE SERVICES


Address: 3530 Se 136th Ave. #5, Portland, OR 97236
Phone: 5418588170

COLUMBIACARE SERVICES (NPI# 1386047132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386047132
Entity Type Organization
Organization Name COLUMBIACARE SERVICES
Practice Address 3530 Se 136th Ave. #5
Portland
OR 97236
Mailing Address 3587 Heathrow Way
Medford
OR 97504-4004
Practice Telephone 5418588170
Mailing Telephone 5418588170
Enumeration Date 2014-10-07
Last Update Date 2014-10-07
Authorized Official Name MIKE DAVID SEWITSKY (FINANCE MANAGER)
Authorized Official Telephone 5418588170
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320800000X Community Based Residential Treatment Facility, Mental Illness Residential Treatment Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1427553692 Columbiacare Services Clinic/Center 29415 Russell St, Gold Beach, OR 97444 2018-03-28
1255835104 Columbiacare Services Clinic/Center 850 Swing Ln, Medford, OR 97501-1790 2018-03-23
1982140588 Columbiacare Services Clinic/Center 17720 Ne Halsey St # 1, Portland, OR 97230-6734 2017-01-06
1831640192 Columbiacare Services Community Based Residential Treatment Facility, Mental Illness 8336 Highway 62, White City, OR 97530 2016-10-20
1871946640 Columbiacare Services Community Based Residential Treatment Facility, Mental Illness 29841 Hillcrest St, Gold Beach, OR 97444-8714 2016-07-18
1194173898 Columbiacare Services Community Based Residential Treatment Facility, Mental Illness 410 Maple St, Brookings, OR 97415 2016-06-03
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
1740679182 Columbiacare Services Community Based Residential Treatment Facility, Mental Illness 11380 Se Greenburg Rd #9, Tigard, OR 97223 2015-01-22

Other Data Sources

Entity Type Entity Name Entity Address
Washington State Corporations COLUMBIACARE SERVICES, INC 3587 Heathrow Way, Medford, OR 97504
Oregon Corporations, Companies and Business Names COLUMBIACARE SERVICES, INC. 3587 Heathrow Way, Medford, OR 97504

Office Location

Street Address 3530 SE 136TH AVE. #5
City PORTLAND
State OR
Zip Code 97236

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336650357 Wondmimu Edao Chako Registered Nurse 3708 Se 144th Avenue, Portland, OR 97236 2017-10-17
1881142388 John Ho Pharmacist 14700 Se Division St., Portland, OR 97236 2016-09-14
1306392527 Lori-ann Lima Nurse Practitioner Multnomah County Health Department- Mid Cty Health Ctr, 12710 Se Division St, Portland, OR 97236 2016-08-28
1982096202 Allan Fitzpatrick Beals-gibson Adult Companion 15602 Se Division St., Portland, OR 97236 2015-02-24
1356750319 Kendra Harding Counselor 17214 Se Division Street, Portland, OR 97236 2014-08-04
1659790400 Nghia Tran Pharmacist 8438 Se 138th Dr, Portland, OR 97236 2014-04-09
1942623764 Laurel Katherine Hallock Koppelman Nurse Practitioner 12720 Se Division Street, Portland, OR 97236 2014-01-30
1982046249 Victoria D Lathrop Massage Therapist 17221 Se Divistion St S-21, Portland, OR 97236 2013-07-26
1669819694 Ariann Von Vaughn Dental Hygienist 18011 Se Pershing Ct, Portland, OR 97236 2013-05-31
1346598653 Kathrine Margaret Noles-bowers Physical Therapist 13003 Se Holgate Blvd., Portland, OR 97236 2012-08-16
Find all providers in zip 97236

Taxonomy Information

Taxonomy Code 320800000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment Facility, Mental Illness

Taxonomy Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

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
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
1841435518 Cameron Care Powell Community Based Residential Treatment Facility, Mental Illness 14309 Se Powell Blvd, Portland, OR 97236 2008-12-10
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97236

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Dataset Information

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.

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