National Provider Identifier Database

COLUMBIACARE SERVICES
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.


Contact Information

COLUMBIACARE SERVICES
3530 SE 136TH AVE. #5
PORTLAND, OR97236
Phone: 541-858-8170
Fax:
Website:
Specialty Taxonomy Code
* Community Based Residential Treatment Facility, Mental Illness 320800000X

* Indicates primary specialty

NPI Profile & details for COLUMBIACARE SERVICES

NPI Number 1386047132
Legal business name
LBN
COLUMBIACARE SERVICES
Authorized official MIKE SEWITSKY - (FINANCE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 10/07/2014
Last updated 10/07/2014 - About 12 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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