CASCADIA BEHAVIORAL HEALTHCARE (NPI# 1447525506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447525506 |
| Entity Type | Organization |
| Organization Name | CASCADIA BEHAVIORAL HEALTHCARE |
| Other Organization Name | ROETHE HOUSE |
| Practice Address |
5230 Se Roethe Rd Milwaukie OR 97267-5051 |
| Mailing Address |
Po Box 8459 Portland OR 97207-8459 |
| Practice Telephone | 5032380769 |
| Mailing Telephone | 5032380769 |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2012-03-21 |
| Authorized Official Name | COURTNEY BAILEY (REVENUE DEVELOPMENT DIRECTOR) |
| Authorized Official Telephone | 5032380769 |
| Authorized Official Credential | MBA |
| 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 |
| Other Name | Type Code |
|---|---|
| Roethe House | Other Name - Individual/Organization |
| 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 |
| 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 |
| 1073659744 | Cascadia Behavioral Healthcare | Community Based Residential Treatment Facility, Mental Illness | 945 Ne 165th Ave, Portland, OR 97230-6148 | 2007-01-30 |
| 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 |
5230 SE ROETHE RD |
| City | MILWAUKIE |
| State | OR |
| Zip Code | 97267-5051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861739682 | Jordan Marina Lilley | Adult Companion | 5230 Se Roethe Rd, Milwaukie, OR 97267-5051 | 2013-01-14 |
| 1194062919 | Heather Marie Alexander | Adult Companion | 5230 Se Roethe Rd, Milwaukie, OR 97267-5051 | 2013-01-14 |
| 1366799850 | Yuri Alexander | Adult Companion | 5230 Se Roethe Rd, Milwaukie, OR 97267-5051 | 2012-08-14 |
| 1528315801 | Stephen Anthony Walcott Jr. | Adult Companion | 5230 Se Roethe Rd, Milwaukie, OR 97267-5051 | 2012-08-06 |
| 1992067359 | Soohyun Andrew Lee | Adult Companion | 5230 Se Roethe Rd, Milwaukie, OR 97267-5051 | 2012-06-12 |
| 1184984346 | Destiny Robin Topolski | Adult Companion | 5230 Se Roethe Rd, Milwaukie, OR 97267-5051 | 2012-05-22 |
| 1477813574 | Amber Rae Stensen | Adult Companion | 5230 Se Roethe Rd, Milwaukie, OR 97267-5051 | 2012-05-22 |
| 1457619231 | Tiffany Christine Brooks | Adult Companion | 5230 Se Roethe Rd, Milwaukie, OR 97267-5051 | 2012-04-30 |
| 1073871414 | Justin Won-sun Hwang | Adult Companion | 5230 Se Roethe Rd, Milwaukie, OR 97267-5051 | 2012-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851911036 | Michelle Renee Gilham | Massage Therapist | 16560 S.e. 80th Ave, Portland Or 97267, 19650 Se 80th Ave, Portland, OR 97267 | 2020-04-17 |
| 1629557442 | Benchmark Physical Therapy of Or, LLC | Occupational Therapist | 14874 Se Webster Rd, Milwaukie, OR 97267 | 2018-08-13 |
| 1326541764 | Theresa Elaine Day | Massage Therapist | 2080 Se Oak Grove Blvd Ste 16, Portland, OR 97267 | 2018-03-12 |
| 1881015378 | Kathryn Louise Engstrom | Registered Nurse | 6901 Se Lake Road, Portland, OR 97267 | 2013-12-30 |
| 1285951293 | Eliza Ann Rowley | Acupuncturist | 2080 Se Oak Grove Blvd #9, Milwaukie, OR 97267 | 2010-04-29 |
| 1346438124 | Rx Direct Inc | Pharmacy | 16246 Se Mcloughlin, Milwaukie, OR 97267 | 2007-10-05 |
| 1477740827 | Olson Drug, Inc | Durable Medical Equipment & Medical Supplies | 16244 Se Mcloughlin Blvd, Milwaukie, OR 97267 | 2007-10-01 |
| 1831308451 | Jeannie Marie Baer | Massage Therapist | 16705 Se Mcloughlin, Milwaukie, OR 97267 | 2007-05-21 |
| 1902923667 | Matthew William Krueger | Specialist/Technologist | 4950 Se Roethe Rd., Milwaukie, OR 97267 | 2007-03-26 |
| 1316084049 | Renee' Lorena Raschke | Counselor | 17070se Mcloughlin Blvd., Milwaukie, OR 97267 | 2007-01-31 |
| Find all providers in zip 97267 | ||||
| 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 |
|---|---|---|---|---|
| 1306108691 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 13850 Se Autumn Ridge Ter, Milwaukie, OR 97267-2150 | 2012-06-12 |
| 1538434675 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 11458 Se Mcearchron St, Milwaukie, OR 97222 | 2012-03-21 |
| 1568779635 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 2808 Se Balfour St, Milwaukie, OR 97222-6426 | 2010-09-09 |
| 1912152570 | 64th Ave LLC | Community Based Residential Treatment Facility, Mental Illness | 4199 Se King Rd, Milwaukie, OR 97222-5892 | 2008-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932059 | Rainrock Treatment Center, LLC | Community Based Residential Treatment Facility, Mental Illness | 2990 Brandywine Dr, West Linn, OR 97068-8313 | 2020-11-06 |
| 1770101545 | Northwest Premier LLC | Community Based Residential Treatment Facility, Mental Illness | 560 W Rose St, Lebanon, OR 97355-2624 | 2020-07-08 |
| 1538793856 | Tamekio Russell | Community Based Residential Treatment Facility, Mental Illness | 2072 Sw Sandlewood Pl, Gresham, OR 97080-9752 | 2020-02-25 |
| 1487290342 | Andrew J Thomas | Community Based Residential Treatment Facility, Mental Illness | 2568 Sw 1st Ave, Ontario, OR 97914-1877 | 2019-11-25 |
| 1760046528 | The Sachiko Group, Inc | Community Based Residential Treatment Facility, Mental Illness | 3517 Sw Wonderview Ave, Gresham, OR 97080-8574 | 2019-04-26 |
| 1831660984 | Olthyme LLC | Community Based Residential Treatment Facility, Mental Illness | 30803 Jeppeson Ln, Hermiston, OR 97838-6222 | 2018-12-16 |
| 1679073712 | Columbacare Services | Community Based Residential Treatment Facility, Mental Illness | 622 57th St, Springfield, OR 97478-6821 | 2018-02-15 |
| 1356858369 | Scott Richardson | Community Based Residential Treatment Facility, Mental Illness | 3934 Rio Vista Way, Klamath Falls, OR 97603 | 2017-12-29 |
| 1558877407 | Best Care Treatment Services | Community Based Residential Treatment Facility, Mental Illness | 1470 Nw 4th St, Redmond, OR 97756-1366 | 2017-12-14 |
| 1831640192 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 8336 Highway 62, White City, OR 97530 | 2016-10-20 |
| Find all providers with the same taxonomy | ||||
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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.