CASCADIA BEHAVIORAL HEALTHCARE (NPI# 1821354523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821354523 |
Entity Type | Organization |
Organization Name | CASCADIA BEHAVIORAL HEALTHCARE |
Practice Address |
17070 Se Mcloughlin Blvd Milwaukie OR 97267-4960 |
Mailing Address |
Po Box 8459 Portland OR 97207-8459 |
Practice Telephone | 5033034000 |
Practice Fax Number | 5033444412 |
Mailing Telephone | (503) 238-0769 |
Enumeration Date | 2012-04-06 |
Last Update Date | 2017-06-28 |
Authorized Official Name | DERALD WALKER (PRESIDENT/CEO) |
Authorized Official Telephone | 5032380769 |
Authorized Official Credential | PH.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | 500645080 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275899304 | Cascadia Behavioral Healthcare | Community Based Residential Treatment Facility, Mental Illness | 18980 Leland Rd, Oregon City, OR 97045-8511 | 2012-04-03 |
1447525506 | Cascadia Behavioral Healthcare | Community Based Residential Treatment Facility, Mental Illness | 5230 Se Roethe Rd, Milwaukie, OR 97267-5051 | 2012-03-21 |
1265570287 | Cascadia Behavioral Healthcare | Exclusive Provider Organization | 3324 Se Waverleigh Blvd, Portland, OR 97202-1973 | 2007-02-02 |
1972878031 | Cascadia Behavioral Healthcare | Community Based Residential Treatment Facility, Mental Illness | 304 Pearl St, Oregon City, OR 97045-2684 | 2012-03-21 |
1073888137 | Cascadia Behavioral Healthcare | Community Based Residential Treatment Facility, Mental Illness | 1020 Portland Ave, Gladstone, OR 97027-2155 | 2012-03-21 |
1922265685 | Cascadia Behavioral Healthcare | Nursing Facility/Intermediate Care Facility | 2375 Nw Glisan St, Portland, OR 97210-3420 | 2008-05-20 |
1922136662 | Cascadia Behavioral Healthcare | Counselor | 509 Ne Alberta St, Portland, OR 97211-3976 | 2007-03-02 |
1043347958 | Cascadia Behavioral Healthcare | Case Management | 2415 Se 43rd Ave, Portland, OR 97206-1600 | 2007-02-27 |
1003955782 | Cascadia Behavioral Healthcare | Community/Behavioral Health | 2100 Se Belmont St, Portland, OR 97214-2815 | 2007-02-06 |
1073659744 | Cascadia Behavioral Healthcare | Community Based Residential Treatment Facility, Mental Illness | 945 Ne 165th Ave, Portland, OR 97230-6148 | 2007-01-30 |
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 |
17070 SE MCLOUGHLIN BLVD |
City | MILWAUKIE |
State | OR |
Zip Code | 97267-4960 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376599910 | Randall Fryer | Family Medicine | 17070 Se Mcloughlin Blvd, Milwaukie, OR 97267-4960 | 2006-05-25 |
1477151447 | Beth Lindsay Julen | Registered Nurse | 17070 Se Mcloughlin Blvd, Milwaukie, OR 97267-4960 | 2020-10-13 |
1184241721 | Cascadia Behavioral Healthcare Inc | Nurse Practitioner | 17070 Se Mcloughlin Blvd, Milwaukie, OR 97267-4960 | 2020-06-30 |
1568980258 | Colin Tardif | Counselor | 17070 Se Mcloughlin Blvd, Milwaukie, OR 97267-4960 | 2017-09-01 |
1962953471 | Brian Long | Counselor | 17070 Se Mcloughlin Blvd, Milwaukie, OR 97267-2115 | 2016-10-19 |
1962959544 | Braydon Robbins | Counselor | 17070 Se Mcloughlin Blvd, Milwaukie, OR 97267-4960 | 2016-09-01 |
1932556230 | Everett Mccown | Counselor | 17070 Se Mcloughlin Blvd, Milwaukie, OR 97267-4960 | 2016-05-17 |
1770960437 | Caleb Fisher | Social Worker | 17070 Se Mcloughlin Blvd, Milwaukie, OR 97267-4960 | 2015-05-01 |
1003206525 | Lindsay Young | Counselor | 17070 Se Mcloughlin Blvd, Milwaukie, OR 97267-4960 | 2015-02-04 |
1932513884 | Andrew Wiencken | Counselor | 17070 Se Mcloughlin Blvd, Milwaukie, OR 97267-4960 | 2014-06-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851911036 | Michelle Renee Gilham | Massage Therapist | 16560 S.e. 80th Ave, Portland Or 97267, 19650 Se 80th Ave, Portland, OR 97267 | 2020-04-17 |
1629557442 | Benchmark Physical Therapy of Or, LLC | Occupational Therapist | 14874 Se Webster Rd, Milwaukie, OR 97267 | 2018-08-13 |
1326541764 | Theresa Elaine Day | Massage Therapist | 2080 Se Oak Grove Blvd Ste 16, Portland, OR 97267 | 2018-03-12 |
1881015378 | Kathryn Louise Engstrom | Registered Nurse | 6901 Se Lake Road, Portland, OR 97267 | 2013-12-30 |
1285951293 | Eliza Ann Rowley | Acupuncturist | 2080 Se Oak Grove Blvd #9, Milwaukie, OR 97267 | 2010-04-29 |
1346438124 | Rx Direct Inc | Pharmacy | 16246 Se Mcloughlin, Milwaukie, OR 97267 | 2007-10-05 |
1477740827 | Olson Drug, Inc | Durable Medical Equipment & Medical Supplies | 16244 Se Mcloughlin Blvd, Milwaukie, OR 97267 | 2007-10-01 |
1831308451 | Jeannie Marie Baer | Massage Therapist | 16705 Se Mcloughlin, Milwaukie, OR 97267 | 2007-05-21 |
1902923667 | Matthew William Krueger | Specialist/Technologist | 4950 Se Roethe Rd., Milwaukie, OR 97267 | 2007-03-26 |
1316084049 | Renee' Lorena Raschke | Counselor | 17070se Mcloughlin Blvd., Milwaukie, OR 97267 | 2007-01-31 |
Find all providers in zip 97267 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
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1083226625 | Centered Therapy LLC | Clinic/Center | 300 Se Reed Market Rd Ste 260, Bend, OR 97702-3816 | 2020-08-17 |
1124637236 | Inner Light Counseling & Bodywork LLC | Clinic/Center | 2520 Chaucer Ct, Eugene, OR 97405-1217 | 2020-07-24 |
1386269637 | Tending The Vineyard | Clinic/Center | 127 Nw Highway 99w, Mcminnville, OR 97128 | 2020-06-12 |
1912521998 | The Practice of Jeffery Wise Therapeutics Pmhnp-bc | Clinic/Center | 2651 Nw Thurman St Apt 303, Portland, OR 97210-2327 | 2020-06-04 |
1326661448 | Kgk Therapeutic Services | Clinic/Center | 1138 Jefferson St, Eugene, OR 97402-5246 | 2020-05-22 |
1831723642 | Wild River Counseling and Consultation, LLC | Clinic/Center | 107 E Main St Ste 7, Medford, OR 97501-6022 | 2020-03-02 |
1356973010 | Holistic Healing Behavioral Healthcare | Clinic/Center | 5257 Ne Martin Luther King Blvd Ste 201, Portland, OR 97211-3283 | 2020-02-10 |
1336786730 | Sarah Kaufman Counseling | Clinic/Center | 492 E 13th Ave Ste 210, Eugene, OR 97401-4268 | 2019-12-04 |
1942845805 | I. Keith Orton, Phd | Clinic/Center | 745 Nw Mt Washington Dr Ste 301, Bend, OR 97703-1576 | 2019-11-14 |
1407408305 | Adaptability for Life LLC | Clinic/Center | 309 N 1st St, Silverton, OR 97381-1605 | 2019-07-10 |
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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.