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Columbiacare Services — NPI 1508126368, Medford, OR | NPI Central

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NPI 1508126368

OrganizationActive

Columbiacare Services

NPI 1508126368 · Mental Illness Community Based Residential Treatment Facility · Medford, OR

Provider details

NPI number: 1508126368
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

Specialties & taxonomies

Mental Illness Community Based Residential Treatment FacilityPrimary320800000X
Residential Treatment Facilities

Practice location

3587 Heathrow Way

Medford, OR 97504-4004

Phone: (541) 858-8170

Approximate (ZIP-level) locationGet directions

More OR providers

Mailing address

4545 Se Ina Ave

Milwaukie, OR 97267-5916

Other names (DBA / former)

Doing business as: Jennings Lodge

Registry dates

Enumerated: 2012-05-25
Last updated: 2012-05-25

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.