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COLUMBIA CARE SERVICES NPI 1073885141


NPI Information

NPI: 1073885141
Provider Name: COLUMBIA CARE SERVICES

Doing Business As: BRIDGESTONE

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
29549 SW VILLEBOIS DR S
WILSONVILLE, OR
ZIP 97070
Phone: (503) 427-0172
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COLUMBIA CARE SERVICES is a community based residential treatment facility mental illness in Wilsonville, OR. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. COLUMBIA CARE SERVICES NPI is 1073885141. The provider is registered as an organization entity type.
The provider Is Doing Business As Bridgestone.

The provider's business location address is:

29549 SW VILLEBOIS DR S
WILSONVILLE, OR
ZIP 97070-329
Phone: (503) 427-0172
Fax: (503) 427-0798

The provider's authorized official is Robert C Beckett .
The authorized official title is Executive Director and has the following contact phone number (541) 858-8170.

The enumeration date for this NPI number is 2/3/2012 and was last updated on 2/3/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251S00000XCommunity/Behavioral HealthNo
2323P00000XPsychiatric Residential Treatment FacilityNo
3320800000XCommunity Based Residential Treatment Facility, Mental IllnessYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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