# COLUMBIACARE SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cedar Bay
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386787596
- **Authorized official:** MR. ROBERT C BECKETT (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (541) 858-8170

## Contact information

- **Practice address:** 1592 MONROE ST, NORTH BEND, OR 97459-3657
- **Practice address phone:** (541) 756-2048
- **Practice address fax:** (541) 756-2022
- **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 |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | 889 | OR | Yes |

## Other

- **Enumeration date:** 02/15/2007
- **Last updated:** 05/13/2009