Columbiacare Services

NPI 1043410962 - Community Based Residential Treatment Facility, Mental Illness - 320800000X

NPI Details
NPI 1043410962
Enumeration Date 07/19/2007
Last Updated 05/13/2009
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ROBERT C ROBERT
Position EXECUTIVE DIRECTOR
Phone (503) 660-8050
Fax (503) 492-4651
Practice Location
1945 NE 205TH AVE
FAIRVIEW OR, 97024-9622, US
Phone (503) 660-8050
Fax (503) 492-4651
Business Location
3587 HEATHROW WAY
MEDFORD OR, 97504, US
Phone (541) 858-8170
Fax (541) 858-8167
Toxanomy
Taxonomy Code 320800000X
License State Oregon
License Number 07863
Remove 1043410962 NPI Number
 

According to our database, Columbiacare Services NPI is 1043410962, taxonomy code is 320800000X and license number is 07863, license state is located at Oregon. Columbiacare Services physically located at 1945 Ne 205th Ave, Fairview OR, 97024-9622. NPI Number 1033115704 has the healthcare provider type.

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1043410962 NPI number is provided on an as is basis without warranty of any kind. 1043410962 is maintained by the National Plan & Provider Enumeration System. The contents of Columbiacare Services are for informational purposes only.