NPIMap

Organization Active NPI

Cascadia Behavioral Healthcare Inc

  • Multi-Specialty Clinic/Center
  • Sublimity, OR
National Provider Identifier
1720034853
Registry record updated Jun 18, 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
11656 Sublimity Rd SE
Sublimity, OR 97385-9534
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 18, 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

11656 Sublimity Rd SE
Sublimity, OR 97385-9534

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
223347MedicaidOR
226398MedicaidOR

Other names 1

  • Bridgeway-Woodburn 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

11656 Sublimity Rd SE
Sublimity, OR 97385
Phone (503) 884-7318

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": "1213747200000",
    "number": "1720034853",
    "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": "11656 SUBLIMITY RD SE",
            "city": "SUBLIMITY",
            "state": "OR",
            "postal_code": "973859534",
            "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": "2008-06-18",
        "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": "223347",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "226398",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridgeway-Woodburn",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sublimity, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.