OrganizationActive
Coffee Creek Correction Facility
NPI 1619397767 · Multi-Specialty Clinic/Center · Portland, OR
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
Practice location
847 Ne 19th Ave
Suite 100
Portland, OR 97232-2684
Phone: (503) 238-0769
Fax: (503) 963-7711
Approximate (ZIP-level) locationGet directions
Mailing address
847 Ne 19th Ave
Portland, OR 97232-2684
Other names (DBA / former)
- Other name
- Turning Point Program
Registry dates
- Enumerated
- 2014-04-16
- Last updated
- 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.