The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
NPI | 1609011964 |
NPI Entity Type | Organization |
Provider Name |
Columbiacare Services
Doing Business As |
Enumeration Date | September 30, 2009 |
Last Update Date | September 30, 2009 |
Provider Location Address | 29120 Sw San Remo Ct, Wilsonville, OR, US |
Provider Mailing Address | 3587 Heathrow Way, Medford, OR, US, 97504 |
Is Sole Proprietor? | No |
Official Name | MR. Robert C Beckett |
Official Position | EXECUTIVE DIRECTOR |
Phone | 541-858-8170 |
Taxonomy Code | |
Taxonomy Name | Psychiatric Residential Treatment Facility |
Classification | |
Group | |
Description | A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
Taxonomy Code | Group | Classification | License No. | State | Primary? |
---|---|---|---|---|---|
Community Based Residential Treatment Facility, Mental Illness |
No |
Identifier | Identifier State | Identifier Issuer | Type/Code |
---|---|---|---|
500606689 | OR | MEDICAID | 05 |
500603068 | OR | RESIDENTIAL PROVIDER NUMBER | 01 |
NPI | Name | Taxonomy | Address |
---|---|---|---|
MS, RD, LD Lucy Ramquist Individual |
2891 Se Division St Apt 2 |
||
DR. PSY.D Thaen Chiam Saelee Individual |
3806 Tillicum Ln |
||
MR. MD Nathaniel Justin Kelly Individual |
Student in an Organized Health Care Education/Training Program |
500 Sw Ramsey |
|
MR. RPH Emmanuel Chukwuemeka Amadi Individual |
7440 N Denver Ave |
||
Chelsea Walker Individual |
2800 Sw Peaceful Ln |
||
Torrey A Thille Individual |
2306 Ne Glisan St Ste 200 |
||
Northern Pediatrics Llc Organization |
850 Ne 122nd Ave |
||
MD Anh Linh Hoang Individual |
850 Ne 122nd Ave |
||
BCBA, LBA Steven Hardy Individual |
1675 Sw Marlow Ave Ste 200 |
||
DR. PHD Mark R Mcminn Individual |
18703 Ne Williamson Rd |
||
Shelby Ramer Individual |
435 Nw 17th St |
||
Karyssa Ann Endecott Individual |
435 Ne Evans St Ste A |
||
FNP-BC Yvonne Renee Martenia Individual |
1819 Nebraska Ave |
||
DR. DMD Rachel Lynn Mendazona Individual |
199 Sw Shevlin Hixon Dr Ste A |
||
Nicolle Asencio Individual |
Student in an Organized Health Care Education/Training Program |
19500 Se Stark St |
|
Talia Elizabeth Miller Individual |
8915 Sw Center St |
||
MD Sherilyn M Destefano Individual |
4411 Sw Vermont St |
||
The Counseling Place Llc Organization |
745 Cleveland St |
||
PA-C Sara J Wright Individual |
7033 Ne Sandy Blvd |
||
LCSW Victoria Harris Individual |
2650 Suzanne Way Ste 120 |
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