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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

PACIFIC COMMUNITY CARE LLC
NPI 1043145501
Community Based Residential Treatment Facility, Mental Illness in Portland, OR

Active since June 16, 2026
12717 SE LINCOLN ST, PORTLAND, OR 97233(503) 734-5698(503) 207-6192 Get Directions Write a Review

NPPES record added: June 16, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pacific Community Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PACIFIC COMMUNITY CARE LLC (NPI 1043145501) is a healthcare organization registered as a community based residential treatment facility, mental illness in Portland, Oregon and active in the NPI registry since June 2026. The organization lists Eric Manzi, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1043145501
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NamePACIFIC COMMUNITY CARE LLC
Location Address12717 SE LINCOLN STPortland, OR 97233-1372
Mailing Address10017 Ne 13th AvePortland, OR 97211-1563 · (503) 734-5698 · Fax (503) 207-6192
Phone(503) 734-5698
Fax(503) 207-6192
Organization SubpartYes
Authorized OfficialEric ManziDirector Of Operations · (503) 734-5698
Enumeration DateJune 16, 2026
NPPES CertifiedJune 16, 2026
✔ NPI 1043145501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
12717 SE LINCOLN ST, Portland, OR 97233
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THRIVE RESIDENTIAL FACILITY LLC
Community Based Residential Treatment Facility, Mental Illness
12717 SE LINCOLN ST
PORTLAND, OR 97233
Multnomah County (215) 960-6390
PACIFIC COMMUNITY CARE LINCOLN LLC
Community Based Residential Treatment Facility, Mental Illness
12717 SE LINCOLN ST
PORTLAND, OR 97233
Multnomah County (503) 734-5698

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pacific Community Care LLC's NPI number?

The NPI number for Pacific Community Care LLC is 1043145501. It was assigned to this organization in the NPPES registry on June 16, 2026.

Where is Pacific Community Care LLC located?

Pacific Community Care LLC is located at 12717 SE Lincoln St, Portland, OR 97233. The listed phone number is (503) 734-5698.

What is Pacific Community Care LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Pacific Community Care LLC was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.