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NPI Code Detail

MEDICARE: CASCADIA HEALTH

MEDICARE: CASCADIA HEALTH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1320800000XMental Illness Community Based Residential Treatment Facility

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1972878031
Entity Type Code : Organization
Provider Name (Legal Business Name) : CASCADIA HEALTH
Provider Business Mailing Address
First Line : PO BOX 8459
Second Line :
City : PORTLAND
State : OR
Zip : 97207-8459
Country : US
Telephone Number : 503-238-0769
Fax Number :
Provider Business Practice Location Address
First Line : 304 PEARL ST
Second Line :
City : OREGON CITY
State : OR
Zip : 97045-2684
Country : US
Telephone Number : 503-238-0769
Fax Number :
Authorized Official
Title or Position : CREDENTIALING SPECIALIST
Name : HEATHER J MCALPINE
Credential :
Telephone Number : 503-238-0769
Provider Enumeration Date : 03/21/2012
Last Update Date : 07/26/2022

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Directions to “CASCADIA HEALTH ” Practice Location

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