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General NPI Number Information
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NPI Number | 1699722561
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Entity Type | Organization
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Legal Business Name | CASCADIA BEHAVIORAL HEALTHCARE INC
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 06/12/2008
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Provider Practice Location Address
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Address Line | 230 NE 2ND AVE SUITE C
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City | HILLSBORO
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State | OR
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Zip | 97124-3074
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Country | US
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Telephone | 503-238-0769
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Fax | 503-889-2599
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Provider Business Mailing Address
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Address Line | PO BOX 8459
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City | PORTLAND
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State | OR
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Zip | 97207-8459
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Country | US
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Telephone | 503-238-0769
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Fax | 503-552-6208
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Authorized Official
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Title or Position | VP, HUMAN RESOURCES
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Name | ENRIQUE SAMA
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Credential |
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Telephone | 503-963-7791
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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