NPIMap

Organization Active NPI

Cascadia Behavioral Healthcare, Inc

  • Multi-Specialty Clinic/Center
  • Portland, OR
National Provider Identifier
1457308587
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
CASCADIA BEHAVIORAL HEALTHCARE, INC
Practice address
412 SW 12TH Ave
Portland, OR 97205-2329
Phone
(503) 238-0769
Fax
(503) 889-2599
NPI assigned
May 26, 2006
Organization subpart
Yes
Parent organization
CASCADIA BEHAVIORAL HEALTHCARE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Enrique Sama
Title
VP, Human Resources
Phone
(503) 963-7791

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

412 SW 12TH Ave
Portland, OR 97205-2329

Mailing address

PO Box 8459
Portland, OR 97207-8459
Phone (503) 238-0769

Other identifiers 2

IdentifierTypeStateIssuer
226398MedicaidOR
223347MedicaidOR

Other names 1

  • Downtown Other name

National Provider Directory

National Provider Directory
Tax ID family
Wellspring67 organizations share this tax ID, including this one
Part of
Wellspring

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

412 SW 12th Ave
Portland, OR 97205

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1457308587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8459",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972078459",
            "telephone_number": "503-238-0769",
            "fax_number": "503-552-6208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 SW 12TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052329",
            "telephone_number": "503-238-0769",
            "fax_number": "503-889-2599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADIA BEHAVIORAL HEALTHCARE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CASCADIA BEHAVIORAL HEALTHCARE, INC",
        "enumeration_date": "2006-05-26",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "SAMA",
        "authorized_official_first_name": "ENRIQUE",
        "authorized_official_title_or_position": "VP, HUMAN RESOURCES",
        "authorized_official_telephone_number": "503-963-7791"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "226398",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "223347",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Downtown",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.