Provider Demographics
NPI:1932246543
Name:CASCADIA BEHAVIORAL HEALTH CARE
Entity Type:Organization
Organization Name:CASCADIA BEHAVIORAL HEALTH CARE
Other - Org Name:BRIDGEWAY
Other - Org Type:Other Name
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ALVARADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-981-5265
Mailing Address - Street 1:520 MAPLE DR
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:OR
Mailing Address - Zip Code:97351-1627
Mailing Address - Country:US
Mailing Address - Phone:503-428-3105
Mailing Address - Fax:
Practice Address - Street 1:399 YOUNG ST
Practice Address - Street 2:
Practice Address - City:WOODBURN
Practice Address - State:OR
Practice Address - Zip Code:97071-4817
Practice Address - Country:US
Practice Address - Phone:503-981-5265
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization