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NPI Code Detail

MEDICARE: CASCADIA BEHAVIORAL HEALTHCARE

MEDICARE: CASCADIA BEHAVIORAL HEALTHCARE
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
1251S00000XCommunity/Behavioral Health AgencyC1537OR

General Provider Information

NPI Number : 1730225236
Entity Type Code : Organization
Provider Name (Legal Business Name) : CASCADIA BEHAVIORAL HEALTHCARE
Provider Business Mailing Address
First Line : 4534 NE ALBERTA CT
Second Line :
City : PORTLAND
State : OR
Zip : 97218-1532
Country : US
Telephone Number : 503-807-3286
Fax Number :
Provider Business Practice Location Address
First Line : 5139 N LOMBARD ST
Second Line :
City : PORTLAND
State : OR
Zip : 97203-4403
Country : US
Telephone Number : 503-285-9871
Fax Number :
Authorized Official
Title or Position : PROGRAM MANAGER
Name : MS. NICOLE CORBIN
Credential :
Telephone Number : 503-285-9871
Provider Enumeration Date : 01/30/2007
Last Update Date : 08/22/2020

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1386782530 — MRS. LAURA LEE POWELL CADC II
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Directions to “CASCADIA BEHAVIORAL HEALTHCARE ” Practice Location

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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.

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