OrganizationActive
Columbiacare Services
NPI 1679941785 · Mental Illness Community Based Residential Treatment Facility · Portland, OR
Provider details
- NPI number
- 1679941785
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Mike Sewitsky, Finance Manager(541) 858-8170
Specialties & taxonomies
Residential Treatment Facilities
Practice location
130 Se 119th Ave
Portland, OR 97216-3704
Phone: (541) 858-8170
Fax: (541) 858-8167
Approximate (ZIP-level) locationGet directions
Mailing address
3587 Heathrow Way
Medford, OR 97504-4004
Registry dates
- Enumerated
- 2015-09-04
- Last updated
- 2015-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.