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	261QM1300X	Multi-Specialty Clinic/Center

Other Identifiers

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

General Provider Information

NPI Number	:	1689621799
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	:	503-552-6208

Provider Business Practice Location Address
First Line	:	10373 NE HANCOCK ST
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	:	VP, HUMAN RESOURCES
Name	:	ENRIQUE SAMA
Credential	:
Telephone Number	:	503-963-7791

Provider Enumeration Date	:	05/27/2006
Last Update Date	:	06/11/2008

Similar Medicare Providers

1811780380 — MICHAEL CRAIG JOHNSTONE
Practice Location Address:

10373 NE HANCOCK ST STE 200
PORTLAND, OR
97220-3873

Practice Phone: 503-253-6754
Practice Fax:

1144896473 — CASCADIA BEHAVIORAL HEALTHCARE, INC.
Practice Location Address:

10373 NE HANCOCK ST STE 200
PORTLAND, OR
97220-3873

Practice Phone: 503-253-6754
Practice Fax: 503-253-8020

1144722935 — CASCADIA HEALTH
Practice Location Address:

10373 NE HANCOCK ST STE 125
PORTLAND, OR
97220-3873

Practice Phone: 503-253-6754
Practice Fax:

1861481285 — DR. NORA LOU FAIRLEY MD
Practice Location Address:

10373 NE HANCOCK ST , SUITE 115
PORTLAND, OR
97220-3873

Practice Phone: 503-235-2833
Practice Fax: 503-853-8636

1225029184 — SORAYA ANN ABBASSIAN M.D.
Practice Location Address:

10373 NE HANCOCK ST , SUITE 117
PORTLAND, OR
97220-3873

Practice Phone: 503-253-8200
Practice Fax: 503-253-8121

1427029321 — DR. THOMAS PAUL HENRY MD
Practice Location Address:

10373 NE HANCOCK ST , #112
PORTLAND, OR
97220-3873

Practice Phone: 503-254-2808
Practice Fax: 503-254-2867

Directions to “CASCADIA BEHAVIORAL HEALTHCARE, INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.