Glisan Street House

LBN: Cascadia Behavioral Healthcare Inc
Glisan Street House is an health care organization with primary practice located at 2375 Nw Glisan St , Portland OR 97210-3420. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Cascadia Behavioral Healthcare Inc can be contacted via phone (503) 243-2236, or through Sama, Enrique via phone (503) 963-7791.

Contact Information

Primary practice address
2375 Nw Glisan St Portland OR 97210-3420
Phone: (503) 243-2236
Fax: (503) 243-2429
Website:
Map and Directions
Authorized official contact:
Name: Sama, Enrique
Phone: (503) 963-7791

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1568549855
LBN Legal business name Cascadia Behavioral Healthcare Inc
DBA Doing business as Glisan Street House
Authorized official Sama, Enrique
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 1st, 2006
Last updated Jun 12th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568549855 NPPES
Oregon MEDICAID 223347
Oregon MEDICAID 226398

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