Provider Demographics
NPI:1417003757
Name:CASCADIA BEHAVIORAL HEALTHCARE
Entity Type:Organization
Organization Name:CASCADIA BEHAVIORAL HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR II
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELONEE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MELSON
Authorized Official - Suffix:
Authorized Official - Credentials:QMHA
Authorized Official - Phone:503-402-8116
Mailing Address - Street 1:5015 NE ALBERTA CT
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97218-2033
Mailing Address - Country:US
Mailing Address - Phone:503-282-5482
Mailing Address - Fax:
Practice Address - Street 1:5009 NE KILLINGSWORTH ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97218-1915
Practice Address - Country:US
Practice Address - Phone:503-402-8116
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR320800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness