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CENTENIAL
NPI 1225329014
Community Based Residential Treatment Facility, Mental Illness in Portland, OR

Active since April 27, 2011
15208 SE TIBBETTS ST, PORTLAND, OR 97236(503) 760-0959(503) 761-0041 Get Directions Write a Review

NPPES record last updated: April 27, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Centenial NPPES

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

CENTENIAL (NPI 1225329014) is a healthcare organization registered as a community based residential treatment facility, mental illness in Portland, Oregon and active in the NPI registry since April 2011. The organization lists Robert C Beckett, Executive Directoe, as its authorized official.

NPPES Registry Identity

NPI1225329014
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameCOLUMBIACARE SERVICES
Location Address15208 SE TIBBETTS STPortland, OR 97236-2356
Mailing Address3587 Heathrow WayMedford, OR 97504-4004 · (541) 858-8170 · Fax (541) 858-8167
Phone(503) 760-0959
Fax(503) 761-0041
Organization SubpartNo
Authorized OfficialRobert C BeckettExecutive Directoe · (541) 858-8170
Enumeration DateApril 27, 2011
✔ NPI 1225329014 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
License✔ Licensed in OR · 200012
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
15208 SE TIBBETTS ST, Portland, OR 97236
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Other Names 1

Other NameCentenial

Other Identifiers 1

Other518374OR · Centenial Service Pmt

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.

MS. LINDSAY L LIDDELL
Counselor (Mental Health)
15208 SE TIBBETTS ST
PORTLAND, OR 97236
Multnomah County (503) 760-0959
KENT J CARPENTER
Counselor (Mental Health)
15208 SE TIBBETTS ST
PORTLAND, OR 97236
Multnomah County (503) 760-0959
MOLLY PETERSEN
Counselor (Mental Health)
15208 SE TIBBETTS ST
PORTLAND, OR 97236
Multnomah County (503) 760-0959
JEFFERY SHANNON
Counselor (Mental Health)
15208 SE TIBBETTS ST
PORTLAND, OR 97236
Multnomah County (503) 760-0959
JACQUELINE DOW
Counselor (Mental Health)
15208 SE TIBBETTS ST
PORTLAND, OR 97236
Multnomah County (503) 760-0959
CHUOT MUTTHIANG
Counselor (Mental Health)
15208 SE TIBBETTS ST
PORTLAND, OR 97236
Multnomah County (503) 760-0959
DURRELL J BOLDS
Counselor (Mental Health)
15208 SE TIBBETTS ST
PORTLAND, OR 97236
Multnomah County (503) 760-0959
KATHERINE HARPER
Counselor (Mental Health)
15208 SE TIBBETTS ST
PORTLAND, OR 97236
Multnomah County (503) 760-0959

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 Columbiacare Services's NPI number?

The NPI number for Columbiacare Services is 1225329014. It was assigned to this organization in the NPPES registry on April 27, 2011. The provider is also known as Centenial.

Where is Columbiacare Services located?

Columbiacare Services is located at 15208 SE Tibbetts St, Portland, OR 97236. The listed phone number is (503) 760-0959.

What is Columbiacare Services'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 Columbiacare Services was last updated on April 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.