OrganizationActive
Columbiacare Services
NPI 1104186014 · Mental Illness Community Based Residential Treatment Facility · Medford, OR
Provider details
- NPI number
- 1104186014
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Robert Beckett, Executive Director
- License
- 810609831 (OR)
Mailing address
2409 Se 139th Ave
Portland, OR 97233-2041
Registry dates
- Enumerated
- 2012-05-24
- Last updated
- 2012-05-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.