CASCADIA BEHAVIORAL HEALTHCARE, INC (NPI# 1457308587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457308587 |
| Entity Type | Organization |
| Organization Name | CASCADIA BEHAVIORAL HEALTHCARE, INC |
| Other Organization Name | DOWNTOWN |
| Practice Address |
412 Sw 12th Ave Portland OR 97205-2329 |
| Mailing Address |
Po Box 8459 Portland OR 97207-8459 |
| Practice Telephone | 5032380769 |
| Practice Fax Number | 5038892599 |
| Mailing Telephone | 5032380769 |
| Mailing Fax Number | 5035526208 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2008-06-12 |
| Authorized Official Name | ENRIQUE SAMA (VP, HUMAN RESOURCES) |
| Authorized Official Telephone | 5039637791 |
| Is Organization Subpart | Y |
| Parent Organization Name | CASCADIA BEHAVIORAL HEALTHCARE, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 223347 | 05 | |
| OR | 226398 | 05 |
| Other Name | Type Code |
|---|---|
| Downtown | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336196401 | Cascadia Behavioral Healthcare, Inc | Clinic/Center | 847 Ne 19th, Portland, OR 97232-2202 | 2006-05-27 |
| 1851810626 | Cascadia Behavioral Healthcare, Inc | Clinic/Center | 847 Ne 19th Ave Ste 100, Portland, OR 97232-2684 | 2017-09-13 |
| 1689195687 | Cascadia Behavioral Healthcare, Inc | Clinic/Center | 847 Ne 19th Ave Ste 100, Portland, OR 97232-2684 | 2017-06-29 |
| 1295174126 | Cascadia Behavioral Healthcare, Inc | Clinic/Center | 13942 Ne Glisan St, Portland, OR 97230-3350 | 2013-06-25 |
| 1689621799 | Cascadia Behavioral Healthcare, Inc | Clinic/Center | 10373 Ne Hancock St, Portland, OR 97220-3873 | 2006-05-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| 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 |
412 SW 12TH AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97205-2329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699045278 | Robin Robberson | Counselor | 412 Sw 12th Ave, Portland, OR 97205-2329 | 2012-01-12 |
| 1639449200 | Megan T Ednoff | Registered Nurse | 412 Sw 12th Ave, Portland, OR 97205-2329 | 2012-01-12 |
| 1639446990 | Pamela Njideka Ogbeama | Registered Nurse | 412 Sw 12th Ave, Portland, OR 97205-2329 | 2011-11-30 |
| 1689950362 | Amy Hart | Case Manager/Care Coordinator | 412 Sw 12th Ave, Portland, OR 97205-2329 | 2011-10-26 |
| 1639454747 | Elsa Renthal | Registered Nurse | 412 Sw 12th Ave, Portland, OR 97205-2329 | 2011-10-20 |
| 1770868093 | Julie Baer | Counselor | 412 Sw 12th Ave, Portland, OR 97205-2329 | 2011-10-18 |
| 1467735233 | Robert Richardson | Community Health Worker | 412 Sw 12th Ave, Portland, OR 97205-2329 | 2011-09-27 |
| 1386927150 | Cathy Kennedy | Community Health Worker | 412 Sw 12th Ave, Portland, OR 97205-2329 | 2011-09-27 |
| 1174806574 | Darrah A Buitron | Registered Nurse | 412 Sw 12th Ave, Portland, OR 97205-2329 | 2011-09-21 |
| 1184906992 | Amanda E Scott | Registered Nurse | 412 Sw 12th Ave, Portland, OR 97205-2329 | 2011-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871026062 | Leila Soltani | Dentist | 430 Sw 13th Ave Apt 2010, Portland, OR 97205 | 2017-04-05 |
| 1114374949 | Elizabeth Alire | Counselor | 1411 Sw Morrison St., Portland, OR 97205 | 2016-05-23 |
| 1508237462 | Pacific Psychology and Comprehensive Health Center | Community/Behavioral Health | 1411 Sw Morrison Ave, Suite 310, Portland, OR 97205 | 2015-10-16 |
| 1265803761 | Alana Branson | Naturopath | 1033 Sw Yamhill Street, Suite 403, Portland, OR 97205 | 2015-10-10 |
| 1720458011 | Kate Ohene | Counselor | 1411 Sw Morrison Street, Suite 310, Portland, OR 97205 | 2015-09-30 |
| 1285004671 | Christina Nannette Mendoza | Counselor | 1411 Sw Morriston Street, 310, Portland, OR 97205 | 2015-09-29 |
| 1083095947 | Patricia Burton | Registered Nurse | 1312 Sw Washinghton, Portland, OR 97205 | 2015-06-16 |
| 1649663071 | Huey Holistic | Clinic/Center | 1221 Sw Yamill, Suite 300, Portland, OR 97205 | 2015-03-10 |
| 1376952796 | Joan Kendall Ayala | Counselor | 610 Sw Alder St Ste 915, Portland, OR 97205 | 2014-08-11 |
| 1316356165 | Satheara Sin | Massage Therapist | 1033 Sw Yamhill St. #403, Portland, OR 97205 | 2014-08-06 |
| Find all providers in zip 97205 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588153076 | Kaiser Foundation Health Plan of The Northwest | Clinic/Center | 3060 Se Hawthorne Blvd, Portland, OR 97214-4121 | 2018-05-09 |
| 1255844908 | Affordable Health Care & Chiropractic Inc | Clinic/Center | 2130 Se 96th Ave, Portland, OR 97216-2603 | 2017-11-15 |
| 1548309776 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 1023 Ne Emerson St, Portland, OR 97211-4336 | 2007-02-05 |
| 1144369356 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 3909 Se 70th Avenue, Portland, OR 97206-2525 | 2007-02-05 |
| 1841360161 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 5023 Ne Killingsworth St, Portland, OR 97218-1915 | 2006-11-08 |
| 1669541058 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 326 Se 76th Ave, Portland, OR 97215-1468 | 2006-11-07 |
| 1215006606 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 959 Ne 165th Ave, Portland, OR 97230-6148 | 2006-11-07 |
| 1982783965 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 7003 Se Woodstock Blvd, Portland, OR 97206-5940 | 2006-11-02 |
| 1225115595 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 1232 Nw 23rd Ave, Portland, OR 97210-2906 | 2006-11-01 |
| 1710064035 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 2270 Se 39th Ave, Portland, OR 97214-5916 | 2006-11-01 |
| 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.