Provider Demographics
NPI:1821419235
Name:MID-COLUMBIA CENTER FOR LIVING
Entity Type:Organization
Organization Name:MID-COLUMBIA CENTER FOR LIVING
Other - Org Name:MCCFL HOOD RIVER OCH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:SEATTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-296-5452
Mailing Address - Street 1:419 E 7TH ST
Mailing Address - Street 2:ANNEX A
Mailing Address - City:THE DALLES
Mailing Address - State:OR
Mailing Address - Zip Code:97058-2676
Mailing Address - Country:US
Mailing Address - Phone:541-296-5452
Mailing Address - Fax:541-296-9418
Practice Address - Street 1:849 PACIFIC AVE
Practice Address - Street 2:
Practice Address - City:HOOD RIVER
Practice Address - State:OR
Practice Address - Zip Code:97031-1956
Practice Address - Country:US
Practice Address - Phone:541-296-5452
Practice Address - Fax:541-296-9418
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MID-COLUMBIA CENTER FOR LIVING
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-01-02
Last Update Date:2014-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health