OrganizationActive
Columbiacare Services
NPI 1225329014 · Mental Illness Community Based Residential Treatment Facility · Portland, OR
Provider details
- NPI number
- 1225329014
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Robert Beckett, Executive Directoe
- License
- 200012 (OR)
Practice location
15208 Se Tibbetts St
Portland, OR 97236-2356
Phone: (503) 760-0959
Fax: (503) 761-0041
Mailing address
3587 Heathrow Way
Medford, OR 97504-4004
Registry dates
- Enumerated
- 2011-04-27
- Last updated
- 2011-04-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.