Organization
COLUMBIACARE SERVICES
Active
Other names
Alder Creek
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT C BECKETT (EXECUTIVE DIRECTOR)
(541) 858-8170
Entity
Organization
Contact information
Practice address
11458 SE MCEARCHRON ST, MILWAUKIE, OR 97222
(541) 858-8170
Mailing address
3587 HEATHROW WAY, MEDFORD, OR 97504
(541) 858-8170
(541) 858-8167
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/21/2012
Last updated
03/21/2012
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