OrganizationActive
Project Patch
NPI 1760796130 · Psychiatric Residential Treatment Facility · Vancouver, WA
Provider details
- NPI number
- 1760796130
- Entity type
- Organization
- Primary specialty
- Psychiatric Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Alina Polovina, Biller(503) 228-7106
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
2404 E Mill Plain Blvd Ste 4
Vancouver, WA 98661-4334
Phone: (360) 690-8495
Street-level locationGet directions
Mailing address
Po Box 450
Gardenvalley, ID 83622
Registry dates
- Enumerated
- 2010-07-28
- Last updated
- 2010-07-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.