MEDICARE: CASCADIA BEHAVIORAL HEALTHCARE, INC.

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
1	332900000X	Non-Pharmacy Dispensing Site
2	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1144896473
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CASCADIA BEHAVIORAL HEALTHCARE, INC.

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	:	503-235-5049

Provider Business Practice Location Address
First Line	:	10373 NE HANCOCK ST STE 200
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97220-3873
Country	:	US
Telephone Number	:	503-253-6754
Fax Number	:	503-253-8020

Authorized Official
Title or Position	:	CREDENTIALING SPECIALIST
Name	:	HEATHER J MCALPINE
Credential	:
Telephone Number	:	503-238-0769

Provider Enumeration Date	:	05/27/2021
Last Update Date	:	06/12/2026

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