National Provider Identifier Database

COLUMBIACARE SERVICES
Mental Health (Including Community Mental Health Center)


Contact Information

COLUMBIACARE SERVICES
29415 RUSSELL ST
GOLD BEACH, OR97444
Phone: 541-254-0630
Fax:
Website:
Specialty Taxonomy Code
* Mental Health (Including Community Mental Health Center) 261QM0801X

* Indicates primary specialty

NPI Profile & details for COLUMBIACARE SERVICES

NPI Number 1427553692
Legal business name
LBN
COLUMBIACARE SERVICES
Authorized official MICHAEL SEWITSKY - (FINANCE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 03/28/2018
Last updated 03/28/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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