Organization
TELECARE MENTAL HEALTH SERVICES OF OREGON, INC.
Active
Organization
TELECARE MENTAL HEALTH SERVICES OF OREGON, INC.
Active
Other names
Telecare Multnomah County Crisis Assessment and Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE DAVIS (SVP, CFO)
(510) 337-7950
Entity
Organization
Contact information
Practice address
30 NE MARTIN LUTHER KING BLVD, PORTLAND, OR 97232-2941
(503) 232-1099
(503) 232-3854
Mailing address
1080 MARINA VILLAGE PKWY, SUITE 100, ALAMEDA, CA 94501-6427
(510) 337-7950
(510) 337-7969
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500635141
—
OR
Enumeration date
05/06/2011
Last updated
01/11/2022
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