Organization
CASCADIA BEHAVIORAL HEALTHCARE INC
Active
Parent organization
CASCADIA BEHAVIORAL HEALTHCARE INC
Other names
Killingsworth House
Organization subpart
Yes
Provider details
NPI number
Legal business name
CASCADIA BEHAVIORAL HEALTHCARE INC
Authorized official
ENRIQUE SAMA (VP, HUMAN RESOURCES)
(503) 963-7791
Entity
Organization
Contact information
Practice address
2908 NE KILLINGSWORTH ST, PORTLAND, OR 97211-6812
(503) 287-8009
(503) 287-7684
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
(503) 238-0769
(503) 552-6208
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
223347
—
OR
05
—
226398
—
OR
Enumeration date
11/01/2006
Last updated
06/13/2008
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