Pacific Community Care Lincoln LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

PACIFIC COMMUNITY CARE LINCOLN LLC

Practice address

12717 SE Lincoln St
Portland, OR 97233-1372

Phone

(503) 734-5698

Fax

(503) 207-6192

NPI assigned

Jun 17, 2026

Last updated

Jun 17, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

PACIFIC COMMUNITY CARE LLCAs reported in NPPES

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

Authorized official

Name

Eric Manzi

Title

Director of Operations

Phone

(503) 734-5698

Specialties & licenses 1

Addresses

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Pacific Community Care LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Portland, OR
  • NPI 1457181919
  NPPES parent name

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

{
    "created_epoch": "1781654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781654400000",
    "number": "1720913965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10017 NE 13TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972111563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12717 SE LINCOLN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972331372",
            "telephone_number": "503-734-5698",
            "fax_number": "503-207-6192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC COMMUNITY CARE LINCOLN LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PACIFIC COMMUNITY CARE LLC",
        "enumeration_date": "2026-06-17",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A",
        "authorized_official_last_name": "MANZI",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "503-734-5698"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Illness Community Based Residential Treatment Facility in Portland, OR
• Providers in Portland, OR by specialty
• Mental Illness Community Based Residential Treatment Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.