OrganizationActive
Columbacare Services
NPI 1629603196 · Mental Illness Community Based Residential Treatment Facility · Boardman, OR
Provider details
- NPI number
- 1629603196
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Michael Sewitsky, Finance Director(541) 858-8170
Specialties & taxonomies
Residential Treatment Facilities
Practice location
70362 Kunze Ln
Boardman, OR 97818-8013
Phone: (541) 858-8170
Fax: (541) 858-8167
Approximate (ZIP-level) locationGet directions
Mailing address
3587 Heathrow Way
Medford, OR 97504-4004
Other names (DBA / former)
- Doing business as
- Columbia River Ranch
Registry dates
- Enumerated
- 2020-03-05
- Last updated
- 2020-03-05
- Certified
- 2020-03-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.