CASCADIA HEALTH NPI 1992844195

NPI Information

NPI: 1992844195
Provider Name: CASCADIA HEALTH

Other Name: COFFEE CREEK CORRECTIONAL FACILITY

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 38D2198719

Address:
24499 SW GRAHAMS FERRY RD
WILSONVILLE, OR
ZIP 97070
Phone: (503) 762-3431
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CASCADIA HEALTH is a multi-specialty clinic center in Wilsonville, OR. CASCADIA HEALTH NPI is 1992844195. The provider is registered as an organization entity type.
The provider Other Name Is Coffee Creek Correctional Facility.

The provider's business location address is:

24499 SW GRAHAMS FERRY RD
WILSONVILLE, OR
ZIP 97070-523
Phone: (503) 762-3431
Fax: (503) 762-8012

The provider's authorized official is Heather J Mcalpine .
The authorized official title is Credentialing Specialist and has the following contact phone number (503) 238-0769.

The CLIA number assigned to this NPI record is 38D2198719 - prison with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/5/2007 and was last updated on 7/26/2022.

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
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	223347	MEDICAID	OREGON
2	226398	MEDICAID	OREGON

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

NPI Synchronization or Removal

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