Organization
CASCADIABEHAVIORAL HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORDELIA KOLAR (ADMINISTRATOR)
(503) 771-6061
Entity
Organization
Contact information
Practice address
7511 SE HENRY ST, PORTLAND, OR 97206-6445
(503) 771-6061
Mailing address
7511 SE HENRY ST, PORTLAND, OR 97206-6445
(503) 771-6061
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12110
COMPANY
OR
Enumeration date
01/29/2007
Last updated
08/22/2020
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