CASCADIA BEHAVIORAL HEALTH (NPI# 1083751663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083751663 |
| Entity Type | Organization |
| Organization Name | CASCADIA BEHAVIORAL HEALTH |
| Practice Address |
326 Se 76th Ave Portland OR 97214 |
| Mailing Address |
1943 Nw Irving St. # 103 Portland OR 97209 |
| Practice Telephone | 5032553198 |
| Mailing Telephone | 9715440542 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | TAMMERA COOKE (RESIDENTIAL COUNSELOR) |
| Authorized Official Telephone | 5032553198 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities | ||
| X | 372600000X | Adult Companion | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912053331 | Cascadia Behavioral Health | Point of Service | 521 Sw 11th Ave, Portland, OR 97205-2634 | 2007-01-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | CASCADIA BEHAVIORAL HEALTHCARE | Attention Michael Kleinschmit, 847 Ne 19th Ave, Portland, OR 97232 |
| System for Award Management (SAM) Entities | CASCADIA BEHAVIORAL HEALTHCARE, INC. | 847 Ne 19th Ave Ste 100, Portland, OR 97232-2684 |
| Oregon Corporations, Companies and Business Names | CASCADIA BEHAVIORAL HEALTHCARE, INC. | 847 Ne 19th #100, Portland, OR 97232 |
| Street Address |
326 SE 76TH AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669541058 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 326 Se 76th Ave, Portland, OR 97215-1468 | 2006-11-07 |
| 1124440920 | Heather Ford | Adult Companion | 326 Se 76th Ave, Portland, OR 97215-1468 | 2014-01-13 |
| 1104248236 | Peggy Surfus | Counselor | 326 Se 76th Ave, Portland, OR 97215-1468 | 2014-01-08 |
| 1508103342 | Marta Buechler | Adult Companion | 326 Se 76th Ave, Portland, OR 97215-1468 | 2013-01-14 |
| 1700144144 | James Abel Justice | Adult Companion | 326 Se 76th Ave, Portland, OR 97215-1468 | 2012-04-23 |
| 1023395282 | Tomas John Wildenborg | Adult Companion | 326 Se 76th Ave, Portland, OR 97215-1468 | 2011-11-15 |
| 1376838417 | Lael Stephanie Gordon | Counselor | 326 Se 76th Ave, Portland, OR 97215-1468 | 2011-06-16 |
| 1780982454 | Laroy William Lackey | Adult Companion | 326 Se 76th Ave, Portland, OR 97215-1468 | 2011-03-04 |
| 1497084461 | Nicholas Maier | Adult Companion | 326 Se 76th Ave, Portland, OR 97215-1468 | 2009-12-21 |
| 1346489770 | Dayna Ann Stierley | Counselor | 326 Se 76th Ave, Portland, OR 97215-1468 | 2009-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773155 | Mamie Nzigire Zagabe | Peer Specialist | 605 Se Cesar Estrada Chavez Blvd, Portland, OR 97214 | 2020-09-01 |
| 1336772243 | Alexandra Mcbryde | Acupuncturist | 959 Se Division St, #315, Portland, OR 97214 | 2020-02-19 |
| 1356973770 | Laura Kille | Counselor | Wise Counsel and Comfort, 2045 Se Hawthorne Blvd., Portland, OR 97214 | 2020-02-05 |
| 1639616436 | Erin Elizabeth Weaver | Acupuncturist | 1330 Se Cesar E Chavez Blvd. Center for Natural Meidici, Portland, OR 97214 | 2017-01-31 |
| 1780126045 | Katherine Aravamudan, Lpc, LLC | Community/Behavioral Health | 1312 E. Burnside Street, Portland, OR 97214 | 2016-11-17 |
| 1003358441 | Michelle Jean Meadows | Massage Therapist | 2804 Se Lincoln St, Portland, OR 97214 | 2016-11-16 |
| 1629429311 | Stephanie Tolentino | Counselor | 605 Se Cesar E Chavez Blvd., Portland, OR 97214 | 2016-06-24 |
| 1790141166 | Marian Iris Dixon | Massage Therapist | 3810 Se Belmont St., Earthbody Wellness Center East, Portland, OR 97214 | 2016-01-14 |
| 1194194589 | Lutheran Community Services Northwest | Community/Behavioral Health | 605 Se Cesar E Chavez Bld, Portland, OR 97214 | 2015-09-16 |
| 1497123566 | Michele R. Stokes | Specialist | 2311 East Burnside B1, Portland, OR 97214 | 2015-09-08 |
| Find all providers in zip 97214 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558732966 | John William Thompson | Community Based Residential Treatment Facility, Mental Illness | 5538 Ne 24th Ave, Portland, OR 97211-6206 | 2015-10-12 |
| 1679941785 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 130 Se 119th Ave, Portland, OR 97216-3704 | 2015-09-04 |
| 1346637816 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 17710 Halsey Crc, Portland, OR 97230 | 2015-04-22 |
| 1700273638 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 17700 Ne Halsey St, Portland, OR 97230-6734 | 2015-04-17 |
| 1447654504 | Cascadia Behavioral Health Care | Community Based Residential Treatment Facility, Mental Illness | 7405 Se 84th Ave, Portland, OR 97266-5840 | 2014-10-20 |
| 1386047132 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 3530 Se 136th Ave. #5, Portland, OR 97236 | 2014-10-07 |
| 1821491853 | Florence Mutie | Community Based Residential Treatment Facility, Mental Illness | 5123 Sw 62nd Ave, Portland, OR 97221-1170 | 2014-10-05 |
| 1679983381 | Janus Youth Program | Community Based Residential Treatment Facility, Mental Illness | 142 Se 160th Ave Apt 24, Portland, OR 97233-3558 | 2014-05-02 |
| 1558606384 | Renew Consulting, Inc. | Community Based Residential Treatment Facility, Mental Illness | 12810 Sw 62nd Ave, Portland, OR 97219-8034 | 2012-12-05 |
| 1558686576 | Mentor Abi | Community Based Residential Treatment Facility, Mental Illness | 9125 Sw 55th Ave, Portland, OR 97219-5018 | 2010-04-01 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.