NPIMap

Organization Active NPI

Cascadia Behavioral Healthcare Inc

  • Multi-Specialty Clinic/Center
  • Portland, OR
National Provider Identifier
1942349147
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
9111 NE Sunderland Rd
Portland, OR 97211-1708
Phone
(503) 280-6646
Fax
(503) 280-6081
NPI assigned
Feb 5, 2007
Last updated
Jun 12, 2008By the provider in NPPES
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

9111 NE Sunderland Rd
Portland, OR 97211-1708

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
226398MedicaidOR
223347MedicaidOR

Other names 1

  • Columbia River Correctional Facility Other name

National Provider Directory

National Provider Directory
Tax ID family
Cascadia Health67 organizations share this tax ID, including this one
Part of
Cascadia Health

Organizations with this tax ID in the same state 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1942349147",
    "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": "9111 NE SUNDERLAND RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972111708",
            "telephone_number": "503-280-6646",
            "fax_number": "503-280-6081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADIA BEHAVIORAL HEALTHCARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CASCADIA BEHAVIORAL HEALTHCARE INC",
        "enumeration_date": "2007-02-05",
        "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": "Columbia River Correctional Facility",
            "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.