COLUMBIACARE SERVICES


Address: 17700 Ne Halsey St, Portland, OR 97230-6734
Phone: 5418588170

COLUMBIACARE SERVICES (NPI# 1700273638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700273638
Entity Type Organization
Organization Name COLUMBIACARE SERVICES
Practice Address 17700 Ne Halsey St
Portland
OR 97230-6734
Mailing Address 3587 Heathrow Way
Medford
OR 97504
Practice Telephone 5418588170
Practice Fax Number 5418588167
Mailing Telephone 5418588170
Mailing Fax Number 5418588167
Enumeration Date 2015-04-17
Last Update Date 2015-04-17
Authorized Official Name MIKE DAVID SEWITSKY (FINANCE MANAGER)
Authorized Official Telephone 5418588170
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320800000X Community Based Residential Treatment Facility, Mental Illness Residential Treatment Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1427553692 Columbiacare Services Clinic/Center 29415 Russell St, Gold Beach, OR 97444 2018-03-28
1255835104 Columbiacare Services Clinic/Center 850 Swing Ln, Medford, OR 97501-1790 2018-03-23
1982140588 Columbiacare Services Clinic/Center 17720 Ne Halsey St # 1, Portland, OR 97230-6734 2017-01-06
1831640192 Columbiacare Services Community Based Residential Treatment Facility, Mental Illness 8336 Highway 62, White City, OR 97530 2016-10-20
1871946640 Columbiacare Services Community Based Residential Treatment Facility, Mental Illness 29841 Hillcrest St, Gold Beach, OR 97444-8714 2016-07-18
1194173898 Columbiacare Services Community Based Residential Treatment Facility, Mental Illness 410 Maple St, Brookings, OR 97415 2016-06-03
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
1740679182 Columbiacare Services Community Based Residential Treatment Facility, Mental Illness 11380 Se Greenburg Rd #9, Tigard, OR 97223 2015-01-22
1255720645 Columbiacare Services Community Based Residential Treatment Facility, Mental Illness 11380 Se Greenburg Rd # 10, Tigard, OR 97223 2015-01-22

Other Data Sources

Entity Type Entity Name Entity Address
Washington State Corporations COLUMBIACARE SERVICES, INC 3587 Heathrow Way, Medford, OR 97504
Oregon Corporations, Companies and Business Names COLUMBIACARE SERVICES, INC. 3587 Heathrow Way, Medford, OR 97504

Office Location

Street Address 17700 NE HALSEY ST
City PORTLAND
State OR
Zip Code 97230-6734

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932687233 Timisha K Wilson Social Worker 12505 Ne Halsey St, Portland, OR 97230 2018-07-30
1356828768 Sally Gail Logan Pharmacist 5725 Ne 138th Avenue, Portland, OR 97230 2018-07-27
1063937951 Marley Elizabeth Small Counselor 1507 Ne 122nd Ave., Portland, OR 97230 2017-08-11
1447771316 Shadab Nasreen Aijazi Pathology 5220 Ne 122nd Avenue, Portland, OR 97230 2017-06-30
1104378199 Derek Andrus Pharmacist 5717 Nw 138th, Portland, OR 97230 2016-10-26
1164972675 Rachael Anderson Adult Companion 423 Ne 160th Ave #11, Portland, OR 97230 2016-10-07
1750837597 Providence Elderplace Assisted Living Facility 16430 Ne Hoyt St, Portland, OR 97230 2016-08-31
1649622473 Sara Mcgroarty Counselor 17710 Ne Halsey Street, Portland, OR 97230 2016-07-05
1346699949 Steven D Stanton Counselor 1022 Ne 181st Ave, C1, Portland, OR 97230 2016-06-06
1215390091 The Wallace Medical Concern Clinic/Center 18139 Ne Couch Street, Portland, OR 97230 2016-03-30
Find all providers in zip 97230

Taxonomy Information

Taxonomy Code 320800000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment Facility, Mental Illness

Taxonomy Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

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
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
1841435518 Cameron Care Powell Community Based Residential Treatment Facility, Mental Illness 14309 Se Powell Blvd, Portland, OR 97236 2008-12-10
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97230

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Dataset Information

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.

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