OrganizationActive
Columbiacare Services
NPI 1275620411 · Mental Illness Community Based Residential Treatment Facility · Portland, OR
Provider details
- NPI number
- 1275620411
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Robert Beckett, Executive Director(541) 858-8170
- License
- 792 (OR)
Specialties & taxonomies
Residential Treatment Facilities
Residential Treatment Facilities
Practice location
12511 Se Raymond St
Portland, OR 97236-3931
Phone: (503) 761-2580
Fax: (503) 761-2584
Approximate (ZIP-level) locationGet directions
Mailing address
3587 Heathrow Way
Medford, OR 97504
Other names (DBA / former)
- Other name
- Columbia Rose
Registry dates
- Enumerated
- 2006-10-09
- Last updated
- 2009-05-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.