| Cascadia Behavioral Healthcare, Inc. | |
|
10373 Ne Hancock St Ste 125 Portland OR 97220-3873 | |
| (503) 253-6754 | |
| Not Available |
| Full Name | Cascadia Behavioral Healthcare, Inc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 10373 Ne Hancock St Ste 125, Portland, Oregon |
| Authorized Official Name and Position | Heather J Mcalpine (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 5032380769 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cascadia Behavioral Healthcare, Inc. Po Box 8459 Portland OR 97207-8459 Ph: (503) 238-0769 | Cascadia Behavioral Healthcare, Inc. 10373 Ne Hancock St Ste 125 Portland OR 97220-3873 Ph: (503) 253-6754 |
| NPI Number | 1144722935 |
|---|---|
| Provider Enumeration Date | 03/07/2018 |
| Last Update Date | 07/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144722935 | NPI | - | NPPES |
| 500742457 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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