Provider Demographics
NPI:1003955782
Name:CASCADIA BEHAVIORAL HEALTHCARE
Entity Type:Organization
Organization Name:CASCADIA BEHAVIORAL HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INTAKE SPECIALIST
Authorized Official - Prefix:MS
Authorized Official - First Name:SHERI
Authorized Official - Middle Name:L
Authorized Official - Last Name:GILMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:503-797-6691
Mailing Address - Street 1:2100 SE BELMONT ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97214-2815
Mailing Address - Country:US
Mailing Address - Phone:503-797-6691
Mailing Address - Fax:
Practice Address - Street 1:2100 SE BELMONT ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97214-2815
Practice Address - Country:US
Practice Address - Phone:503-797-6691
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health