# CASCADIA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** arbor place
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013055953
- **Authorized official:** MRS. LISA DENISE BROADOUS (RESIDENTAL COUNSELOR 1)
- **Authorized official phone:** (503) 528-0757

## Contact information

- **Practice address:** 2330 NE SISKIYOU ST, PORTLAND, OR 97212-2471
- **Practice address phone:** (503) 528-0757
- **Mailing address:** 6902 N ALBINA AVE, PORTLAND, OR 97217-1604
- **Mailing address phone:** (503) 288-1688

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 372600000X | Adult Companion | 3726000OOX | OR | Yes |

## Other

- **Enumeration date:** 02/02/2007
- **Last updated:** 08/22/2020