# COFFEE CREEK CORRECTION FACILITY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CASCADIA BEHAVIORAL HEALTHCARE, INC.
- **Other names:** Turning Point Program
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1619397767
- **Legal business name:** CASCADIA BEHAVIORAL HEALTHCARE, INC.
- **Authorized official:** DR. DERALD WALKER PHD (PRESIDENT / CEO)
- **Authorized official phone:** (503) 238-0769

## Contact information

- **Practice address:** 847 NE 19TH AVE, SUITE 100, PORTLAND, OR 97232-2684
- **Practice address phone:** (503) 238-0769
- **Practice address fax:** (503) 963-7711
- **Mailing address:** 847 NE 19TH AVE, SUITE 100, PORTLAND, OR 97232-2684
- **Mailing address phone:** (503) 238-0769
- **Mailing address fax:** (503) 963-7711

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/16/2014
- **Last updated:** 04/16/2014