Columbiacare Services
Clinic/Center, Mental Health (Including Community Mental Health Center) in Portland, OR. Organization (NPI-2).
Details
- NPI
- 1982140588
- Entity type
- Organization (NPI-2)
- Legal business name
- Columbiacare Services
- Organization subpart
- No
- Enumeration date
- Jan 6, 2017
- Last updated
- Jan 9, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
17720 Ne Halsey St # 1Portland, OR 97230-6734
Phone 541-858-8170 · Fax 541-858-8167
Mailing address
3587 Heathrow WayMedford, OR 97504-4004
Phone 541-858-8170 · Fax 541-858-8167
Authorized official
Mike David Sewitsky
Finance Manager
5418588170
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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