# COLUMBIACARE SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fairview Firs
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043410962
- **Authorized official:** MR. ROBERT C BECKETT (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (541) 858-8170

## Contact information

- **Practice address:** 1945 NE 205TH AVE, FAIRVIEW, OR 97024-9622
- **Practice address phone:** (503) 660-8050
- **Practice address fax:** (503) 492-4651
- **Mailing address:** 3587 HEATHROW WAY, MEDFORD, OR 97504
- **Mailing address phone:** (541) 858-8170
- **Mailing address fax:** (541) 858-8167

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320800000X | Mental Illness Community Based Residential Treatment Facility | 07863 | OR | — |
| 323P00000X | Psychiatric Residential Treatment Facility | 07863 | OR | Yes |

## Other

- **Enumeration date:** 07/19/2007
- **Last updated:** 05/13/2009