Organization
COLUMBACARE SERVICES
Active
Other names
DBT Program
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE DAVID SEWITSY (FINANCE DIRECTOR)
(541) 858-8170
Entity
Organization
Contact information
Practice address
17720 NE HALSEY ST STE B, PORTLAND, OR 97230-6771
(503) 654-7654
(503) 654-7333
Mailing address
3587 HEATHROW WAY, MEDFORD, OR 97504-4004
(541) 858-8170
(541) 858-8167
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/01/2017
Last updated
09/01/2017
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