Organization
PACIFIC COMMUNITY CARE LLC
Active
Organization
PACIFIC COMMUNITY CARE LLC
Active
Parent organization
PACIFIC COMMUNITY CARE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PACIFIC COMMUNITY CARE LLC
Authorized official
MR. ERIC MANZI (DIRECTOR OF OPERATIONS)
(503) 734-5698
Entity
Organization
Contact information
Practice address
12717 SE LINCOLN ST, PORTLAND, OR 97233-1372
(503) 734-5698
(503) 207-6192
Mailing address
10017 NE 13TH AVE, PORTLAND, OR 97211-1563
(503) 734-5698
(503) 207-6192
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/16/2026
Last updated
06/16/2026
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