COLUMBIA ROSE
NPI 1275620411
Community Based Residential Treatment Facility, Mental Illness in Portland, OR

Active since October 09, 2006
12511 SE RAYMOND ST, PORTLAND, OR 97236(503) 761-2580(503) 761-2584 Get Directions Write a Review

NPPES record last updated: May 13, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Columbia Rose NPPES

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

COLUMBIA ROSE (NPI 1275620411) is a healthcare organization registered as a community based residential treatment facility, mental illness in Portland, Oregon and active in the NPI registry since October 2006. The organization lists Robert C Beckett, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1275620411
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameCOLUMBIACARE SERVICES
Location Address12511 SE RAYMOND STPortland, OR 97236-3931
Mailing Address3587 Heathrow WayMedford, OR 97504 · (541) 858-8170 · Fax (541) 858-8167
Fax(503) 761-2584
Organization SubpartNo
Authorized OfficialRobert C BeckettExecutive Director · (541) 858-8170
Enumeration DateOctober 9, 2006
Last NPPES UpdateMay 13, 2009
NPI 1275620411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
License Licensed in OR · 792
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Also ListedPsychiatric Residential Treatment FacilityTaxonomy 323P00000X · License 792 (OR)
12511 SE RAYMOND ST, Portland, OR 97236

Other Names 1

Other NameColumbia Rose

Other Identifiers 2

Other516051OR · C Rose Service Pmt
Medicaid213045OR

Other Providers at the Same Location NPPES 20

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

Counselor (Mental Health)
12511 SE RAYMOND ST
PORTLAND, OR 97236
Counselor (Mental Health)
12511 SE RAYMOND ST
PORTLAND, OR 97236
Counselor (Mental Health)
12511 SE RAYMOND ST
PORTLAND, OR 97236
Counselor (Mental Health)
12511 SE RAYMOND ST
PORTLAND, OR 97236
Counselor (Mental Health)
12511 SE RAYMOND ST
PORTLAND, OR 97236
Counselor (Mental Health)
12511 SE RAYMOND ST
PORTLAND, OR 97236
Counselor (Mental Health)
12511 SE RAYMOND ST
PORTLAND, OR 97236
Counselor (Mental Health)
12511 SE RAYMOND ST
PORTLAND, OR 97236

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 1275620411. It was assigned to this organization in the NPPES registry on October 9, 2006. The provider is also known as Columbia Rose.

Where is Columbiacare Services located?

Columbiacare Services is located at 12511 SE Raymond St, Portland, OR 97236. The listed phone number is (503) 761-2580.

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 May 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.