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TELECARE MULTNOMAH COUNTY CRISIS ASSESSMENT AND TREATMENT CENTER
NPI 1124310305
Community Based Residential Treatment Facility, Mental Illness in Portland, OR

Active since May 06, 2011
30 NE MARTIN LUTHER KING BLVD, PORTLAND, OR 97232(503) 232-1099(503) 232-3854 Get Directions Write a Review

NPPES record last updated: January 11, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 11, 2022, Nov 8, 2016, Nov 17, 2015 (3 updates tracked since 2015).

About Telecare Multnomah County Crisis Assessment And Treatment Center NPPES

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

TELECARE MULTNOMAH COUNTY CRISIS ASSESSMENT AND TREATMENT CENTER (NPI 1124310305) is a healthcare organization registered as a community based residential treatment facility, mental illness in Portland, Oregon and active in the NPI registry since May 2011. The organization lists Leslie Davis, Svp, Cfo, as its authorized official.

NPPES Registry Identity

NPI1124310305
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameTELECARE MENTAL HEALTH SERVICES OF OREGON, INC.
Location Address30 NE MARTIN LUTHER KING BLVDPortland, OR 97232-2941
Mailing Address1080 Marina Village Pkwy, Suite 100Alameda, CA 94501-6427 · (510) 337-7950 · Fax (510) 337-7969
Phone(503) 232-1099
Fax(503) 232-3854
Organization SubpartNo
Authorized OfficialLeslie DavisSvp, Cfo · (510) 337-7950
Enumeration DateMay 6, 2011
Last NPPES UpdateJanuary 11, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2022
✔ NPI 1124310305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.

Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedPsychiatric Residential Treatment FacilityTaxonomy 323P00000X
30 NE MARTIN LUTHER KING BLVD, Portland, OR 97232
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Other Names 1

Doing Business AsTelecare Multnomah County Crisis Assessment And Treatment Center

Other Identifiers 1

Medicaid500635141OR

Other Providers at the Same Location NPPES 14

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

ALICIA BETH PASIK
Counselor (Mental Health)
30 NE MARTIN LUTHER KING BLVD
PORTLAND, OR 97232
Multnomah County (503) 232-1099
ORION JAY RODRIGUEZ
Art Therapist
30 NE MARTIN LUTHER KING BLVD
PORTLAND, OR 97232
Multnomah County (503) 232-1099
ANGELA WOLFER
Peer Specialist
30 NE MARTIN LUTHER KING BLVD
PORTLAND, OR 97232
Multnomah County (503) 232-1099
MICHELLE A HESLA MRT
Technician, Health Information
30 NE MARTIN LUTHER KING BLVD
PORTLAND, OR 97232
Multnomah County (971) 230-7649
RUTH NYAMBURA MBATIA
Registered Nurse
30 NE MARTIN LUTHER KING BLVD
PORTLAND, OR 97232
Multnomah County (503) 232-1099
KATHERINE FLECHA RN
Registered Nurse
30 NE MARTIN LUTHER KING BLVD
PORTLAND, OR 97232
Multnomah County (503) 232-1099
JULIANA BERTUCCI
Peer Specialist
30 NE MARTIN LUTHER KING BLVD
PORTLAND, OR 97232
Multnomah County (503) 232-1099
KATHRYN FERRANDINO
Psychologist (Counseling)
30 NE MARTIN LUTHER KING BLVD
PORTLAND, OR 97232
Multnomah County (503) 232-3854

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 Telecare Mental Health Services Of Oregon, Inc.'s NPI number?

The NPI number for Telecare Mental Health Services Of Oregon, Inc. is 1124310305. It was assigned to this organization in the NPPES registry on May 6, 2011. The provider is doing business as Telecare Multnomah County Crisis Assessment And Treatment Center.

Where is Telecare Mental Health Services Of Oregon, Inc. located?

Telecare Mental Health Services Of Oregon, Inc. is located at 30 NE Martin Luther King Blvd, Portland, OR 97232. The listed phone number is (503) 232-1099.

What is Telecare Mental Health Services Of Oregon, Inc.'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 Telecare Mental Health Services Of Oregon, Inc. was last updated on January 11, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.