CASCADIA BEHAVIORAL HEALTHCARE INC (NPI# 1861531162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861531162 |
| Entity Type | Organization |
| Organization Name | CASCADIA BEHAVIORAL HEALTHCARE INC |
| Other Organization Name | PREMIER LIVING |
| Practice Address |
5120 Se 118th Ave Portland OR 97266-3250 |
| Mailing Address |
Po Box 8459 Portland OR 97207-8459 |
| Practice Telephone | 5037623431 |
| Practice Fax Number | 5037628012 |
| Mailing Telephone | 5032380769 |
| Mailing Fax Number | 5035526208 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2008-06-18 |
| Authorized Official Name | ENRIQUE SAMA (VP, HUMAN RESOURCES) |
| Authorized Official Telephone | 5039637791 |
| Is Organization Subpart | Y |
| Parent Organization Name | CASCADIA BEHAVIORAL HEALTHCARE INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 223347 | 05 | |
| OR | 226398 | 05 |
| Other Name | Type Code |
|---|---|
| Premier Living | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871632000 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 1137 25th St Ne, Salem, OR 97301-1604 | 2007-02-05 |
| 1548309776 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 1023 Ne Emerson St, Portland, OR 97211-4336 | 2007-02-05 |
| 1144369356 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 3909 Se 70th Avenue, Portland, OR 97206-2525 | 2007-02-05 |
| 1841360161 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 5023 Ne Killingsworth St, Portland, OR 97218-1915 | 2006-11-08 |
| 1538238928 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 1095 25th St Se, Salem, OR 97301-5049 | 2006-11-07 |
| 1669541058 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 326 Se 76th Ave, Portland, OR 97215-1468 | 2006-11-07 |
| 1215006606 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 959 Ne 165th Ave, Portland, OR 97230-6148 | 2006-11-07 |
| 1982783965 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 7003 Se Woodstock Blvd, Portland, OR 97206-5940 | 2006-11-02 |
| 1396822763 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 399 Young St, Woodburn, OR 97071-4817 | 2006-11-01 |
| 1225115595 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 1232 Nw 23rd Ave, Portland, OR 97210-2906 | 2006-11-01 |
| Street Address |
5120 SE 118TH AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97266-3250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386798833 | Donald Joseph Hice | Counselor | 5120 Se 118th Ave, Portland, OR 97266-3250 | 2007-01-22 |
| 1669099768 | Premier Living Center Inc. | Assisted Living Facility | 5120 Se 118th Ave, Portland, OR 97266-3250 | 2020-07-06 |
| 1063050763 | Jeffrey T Holm | Case Manager/Care Coordinator | 5120 Se 118th Ave, Portland, OR 97266-3250 | 2019-12-13 |
| 1609111590 | Katrina Eerkes | Case Manager/Care Coordinator | 5120 Se 118th Ave, Portland, OR 97266-3250 | 2012-12-03 |
| 1780959593 | Jacqueline V Swofford | Case Manager/Care Coordinator | 5120 Se 118th Ave, Portland, OR 97266-3250 | 2012-03-12 |
| 1144598822 | Corey Dean Anderson | Counselor | 5120 Se 118th Ave, Portland, OR 97266-3250 | 2011-12-08 |
| 1902051139 | Michelle Martin | Adult Companion | 5120 Se 118th Ave, Portland, OR 97266-3250 | 2008-12-02 |
| 1447415336 | Lawrence Lindstrom Ruhf | Counselor | 5120 Se 118th Ave, Portland, OR 97266-3250 | 2008-07-21 |
| 1124298724 | Teresa Barker | Case Manager/Care Coordinator | 5120 Se 118th Ave, Portland, OR 97266-3250 | 2008-03-10 |
| 1043493737 | Jacob White | Case Manager/Care Coordinator | 5120 Se 118th Ave, Portland, OR 97266-3250 | 2007-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528545969 | Willamette Pharmacy | Pharmacy | 10209 Se Division Build B Ste 100, Portland, OR 97266 | 2018-07-27 |
| 1992204697 | Sober Living Oregon Treatment Center | Clinic/Center | 10209 Se Division, Portland, OR 97266 | 2018-02-08 |
| 1699204024 | Malori Christine Butler | Registered Nurse | 7335 Se 85th Ave., Portland, OR 97266 | 2017-06-08 |
| 1487028882 | Emil Kunkel | Naturopath | 6318 Se 87th Ave, Portland, OR 97266 | 2015-11-23 |
| 1194195313 | Cory Hall-martin | Counselor | 10011 Se Division St #305, Portland, OR 97266 | 2015-09-30 |
| 1336517721 | Krispin Mayfield | Counselor | 10011 Se Division St., Suite 203, Portland, OR 97266 | 2015-09-02 |
| 1407247927 | Syrena Nicholson | Community Health Worker | 7721 Se 92nd Avenue, Apt K, Portland, OR 97266 | 2015-02-06 |
| 1659777886 | Berhanu Aynalem Mekbib | Adult Companion | 9125 Sw 55th, El Dorado, Portland, OR 97266 | 2014-11-17 |
| 1871930685 | Felicitas Amelia Penaloza | Behavioral Analyst | 9911 Se Mt.scott Boulevard, Portland, OR 97266 | 2013-06-03 |
| 1710237326 | Janna Renee Higgins | Case Manager/Care Coordinator | 9911 Se Mt. Scott Boulevard, Portland, OR 97266 | 2012-09-12 |
| Find all providers in zip 97266 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588153076 | Kaiser Foundation Health Plan of The Northwest | Clinic/Center | 3060 Se Hawthorne Blvd, Portland, OR 97214-4121 | 2018-05-09 |
| 1255844908 | Affordable Health Care & Chiropractic Inc | Clinic/Center | 2130 Se 96th Ave, Portland, OR 97216-2603 | 2017-11-15 |
| 1548309776 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 1023 Ne Emerson St, Portland, OR 97211-4336 | 2007-02-05 |
| 1144369356 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 3909 Se 70th Avenue, Portland, OR 97206-2525 | 2007-02-05 |
| 1841360161 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 5023 Ne Killingsworth St, Portland, OR 97218-1915 | 2006-11-08 |
| 1669541058 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 326 Se 76th Ave, Portland, OR 97215-1468 | 2006-11-07 |
| 1215006606 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 959 Ne 165th Ave, Portland, OR 97230-6148 | 2006-11-07 |
| 1982783965 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 7003 Se Woodstock Blvd, Portland, OR 97206-5940 | 2006-11-02 |
| 1225115595 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 1232 Nw 23rd Ave, Portland, OR 97210-2906 | 2006-11-01 |
| 1710064035 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 2270 Se 39th Ave, Portland, OR 97214-5916 | 2006-11-01 |
| Find all providers in PORTLAND | ||||
Please comment or provide details below to improve the information on CASCADIA BEHAVIORAL HEALTHCARE INC.
| 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.