# CHRISTIECARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Christie School
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881637809
- **Authorized official:** DEIBELE THERESA (FINANCE AND ADMINISTRATION DIRECTOR)
- **Authorized official phone:** (503) 675-2228

## Contact information

- **Practice address:** 2507 CHRISTIE DR, MARYLHURST, OR 97036
- **Practice address phone:** (503) 635-3416
- **Practice address fax:** (503) 697-6932
- **Mailing address:** PO BOX 368, MARYLHURST, OR 97036-0368
- **Mailing address phone:** (503) 635-3416
- **Mailing address fax:** (503) 697-6932

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | OR | — |
| 323P00000X | Psychiatric Residential Treatment Facility | — | OR | Yes |
| 385HR2055X | Child Mental Illness Respite Care | — | OR | — |

## Other

- **Enumeration date:** 06/14/2006
- **Last updated:** 04/09/2009