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Organization
COLUMBIACARE SERVICES
Active
Organization
COLUMBIACARE SERVICES
Active
Other names
Fairview Firs
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT C BECKETT (EXECUTIVE DIRECTOR)
(541) 858-8170
Entity
Organization
Contact information
Practice address
1945 NE 205TH AVE, FAIRVIEW, OR 97024-9622
(503) 660-8050
(503) 492-4651
Mailing address
3587 HEATHROW WAY, MEDFORD, OR 97504
(541) 858-8170
(541) 858-8167
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
07863
OR
323P00000X
Psychiatric Residential Treatment Facility
Primary
07863
OR
Other
Enumeration date
07/19/2007
Last updated
05/13/2009
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