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Organization

CASCADIA BEHAVIOR HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. EDWINA LYNNEICE JONES (RESIDENTIAL COUNSEL)
(503) 249-7767
Entity
Organization

Contact information

Practice address
509 NE ALBERTA ST, PORTLAND, OR 97211-3976
(503) 249-7767
Mailing address
6207 NE 15TH AVE, PORTLAND, OR 97211-4805
(503) 493-9498
(503) 493-9497

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
OR

Other

Enumeration date
03/01/2007
Last updated
06/30/2008
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