Willamette Rose
LBN: Columbiacare Services
Willamette Rose is an health care organization with primary practice located at 12505 Se Raymond St , Portland OR 97236-3931. The organization recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Psychiatric Residential Treatment Facility. Residential Treatment Facilities / Psychiatric Residential Treatment Facility is the primary health care specialty.
Columbiacare Services can be contacted via phone (503) 760-8300, or through Beckett, Robert C via phone (541) 858-8170.
Contact Information
Primary practice address
12505 Se Raymond St
Portland OR 97236-3931
Phone: (503) 760-8300
Fax: (503) 760-8308
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness | 320800000X | 801 | Oregon |
| Residential Treatment Facilities / Psychiatric Residential Treatment Facility | 323P00000X | 801 | Oregon |
Profile Details
| NPI number | 1386720142 |
|---|---|
| LBN Legal business name | Columbiacare Services |
| DBA Doing business as | Willamette Rose |
| Authorized official | Beckett, Robert C |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 27th, 2006 |
| Last updated | May 13th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386720142 | NPPES |
| Oregon | Other | 516052 | W ROSE SERVICE PMT |
| Oregon | MEDICAID | 241906 | W ROSE SERVICE PMT |
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