Coffee Creek Correction Facility
NPI 1619397767 · Multi-Specialty Clinic/Center · Portland, OR
Coffee Creek Correction Facility is a Multi-Specialty Clinic/Center organization in Portland, OR (NPI 1619397767).
Provider details
- NPI number
- 1619397767
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Cascadia Behavioral Healthcare, Inc.
- Organization subpart
- Yes
- Authorized official
- Derald Walker, President / Ceo(503) 238-0769
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Turning Point Program
Registry dates
- Enumerated
- 2014-04-16
- Last updated
- 2014-04-16
Frequently asked questions
- What is Coffee Creek Correction Facility's NPI number?
- Coffee Creek Correction Facility's National Provider Identifier (NPI) is 1619397767, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Coffee Creek Correction Facility?
- Coffee Creek Correction Facility is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Coffee Creek Correction Facility located?
- Coffee Creek Correction Facility's practice location on file with NPPES is 847 Ne 19th Ave, Portland, OR 97232-2684.
- What is Coffee Creek Correction Facility's phone number?
- The practice phone number listed in the NPPES registry for Coffee Creek Correction Facility is (503) 238-0769.
- Who is the authorized official for Coffee Creek Correction Facility?
- The authorized official listed on Coffee Creek Correction Facility's NPPES record is Derald Walker, President / Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Coffee Creek Correction Facility's NPI active?
- Yes — Coffee Creek Correction Facility's NPI (1619397767) is active in the NPPES registry as of the last update on 2014-04-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.