Cascadia Behavioral Healthcare, Inc. | |
5120 Se 118th Ave Portland OR 97266-3250 | |
(503) 762-3431 | |
(503) 762-8012 |
Full Name | Cascadia Behavioral Healthcare, Inc. |
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Speciality | Clinic/center - Multi-specialty |
Location | 5120 Se 118th Ave, 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 |
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Cascadia Behavioral Healthcare, Inc. Po Box 8459 Portland OR 97207-8459 Ph: (503) 238-0769 | Cascadia Behavioral Healthcare, Inc. 5120 Se 118th Ave Portland OR 97266-3250 Ph: (503) 762-3431 |
NPI Number | 1861531162 |
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Provider Enumeration Date | 02/05/2007 |
Last Update Date | 07/26/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861531162 | NPI | - | NPPES |
223347 | Medicaid | OR | |
226398 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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Interstate Medical Office West Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3325 N Interstate Ave, Portland, OR 97227 Phone: 800-813-2000 Fax: 503-286-6879 | |
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Cascadia Behavioral Healthcare, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7511 Se Henry St, Portland, OR 97206 Phone: 503-771-6061 Fax: 503-771-7514 |