Organization
OREGON REGIONAL BEHAVIORAL SERVICES
Active
Other names
Columbia River Ranch
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT C BECKETT (EXECUTIVE DIRECTOR)
(541) 858-8170
Entity
Organization
Contact information
Practice address
70362 KUNZE LN, BOARDMAN, OR 97818-8013
(541) 481-3233
(541) 481-3234
Mailing address
3587 HEATHROW WAY, MEDFORD, OR 97504-7499
(541) 858-8170
(541) 858-8167
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
917
OR
323P00000X
Psychiatric Residential Treatment Facility
917
OR
385H00000X
Respite Care
917
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515274
CRR SERVICE PMT
OR
Enumeration date
07/19/2006
Last updated
05/13/2009
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