WILLAMETTE ROSE
NPI 1386720142
Psychiatric Residential Treatment Facility in Portland, OR

Active since October 27, 2006
12505 SE RAYMOND ST, PORTLAND, OR 97236(503) 760-8300(503) 760-8308 Get Directions Write a Review

NPPES record last updated: May 13, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Willamette Rose NPPES

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

WILLAMETTE ROSE (NPI 1386720142) is a healthcare organization registered as a psychiatric residential treatment facility 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

NPI1386720142
Entity TypeOrganization
Primary Taxonomy323P00000X
Legal Business NameCOLUMBIACARE SERVICES
Location Address12505 SE RAYMOND STPortland, OR 97236-3931
Mailing Address3587 Heathrow WayMedford, OR 97504 · (541) 858-8170 · Fax (541) 858-8167
Fax(503) 760-8308
Organization SubpartNo
Authorized OfficialRobert C BeckettExecutive Director · (541) 858-8170
Enumeration DateOctober 27, 2006
Last NPPES UpdateMay 13, 2009
✔ NPI 1386720142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatric Residential Treatment FacilityResidential Treatment Facilities
Taxonomy Code323P00000X
License✔ Licensed in OR · 801
Definition
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
Also ListedCommunity Based Residential Treatment Facility, Mental IllnessTaxonomy 320800000X · License 801 (OR)
12505 SE RAYMOND ST, Portland, OR 97236

Other Names 1

Other NameWillamette Rose

Other Identifiers 2

Other516052OR · W Rose Service Pmt
Medicaid241906OR

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Willamette Rose is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Willamette Rose, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Clinical Social Worker5
Mental Health Counselor4
Psychiatry1

Clinicians, nearest first (10)

Clinical Social Worker
NPI 1629328117
17640 NE HALSEY ST
Portland, OR 97230
(503) 489-5045
✔ PECOS4.2 mi
Clinical Social Worker
NPI 1508428426
3880 SE 8TH AVE STE 180
Portland, OR 97202
(503) 545-6798
✔ PECOS✔ Accepts Medicare6.0 mi
Mental Health Counselor
NPI 1689811879
95 ERICKSON AVE UNIT 95A
Shady Cove, OR 97539
(541) 630-4727
✔ PECOS✔ Accepts Medicare198 mi
Psychiatry
NPI 1902003080
503 AIRPORT RD STE 101
Medford, OR 97504
(541) 200-2900
✔ PECOS✔ Accepts Medicare216 mi
Mental Health Counselor
NPI 1700500790
503 AIRPORT RD STE 101
Medford, OR 97504
(541) 200-2900
✔ PECOS216 mi
Clinical Social Worker
NPI 1801127840
1224 N MODOC AVE UNIT 47
Medford, OR 97504
(970) 373-8276
✔ PECOS✔ Accepts Medicare218 mi
Clinical Social Worker
NPI 1043844327
670 SUPERIOR CT STE 103
Medford, OR 97504
(541) 414-4931
✔ PECOS✔ Accepts Medicare218 mi
Clinical Social Worker
NPI 1992194302
201 W 6TH ST
Medford, OR 97501
(541) 200-2900
✔ PECOS✔ Accepts Medicare219 mi
Mental Health Counselor
NPI 1770227860
201 W 6TH ST
Medford, OR 97501
(541) 200-2900
✔ PECOS✔ Accepts Medicare219 mi
Mental Health Counselor
NPI 1417563388
201 W 6TH ST
Medford, OR 97501
(541) 200-2900
✔ PECOS219 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1386720142. It was assigned to this organization in the NPPES registry on October 27, 2006. The provider is also known as Willamette Rose.

Where is Columbiacare Services located?

Columbiacare Services is located at 12505 SE Raymond St, Portland, OR 97236. The listed phone number is (503) 760-8300.

What is Columbiacare Services's specialty?

The primary specialty registered for this NPI is Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.

Is Columbiacare Services enrolled in Medicare?

Yes. Columbiacare Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Columbiacare Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 3 Medicare specialties reassign their Medicare billing to Columbiacare Services. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (5), Mental Health Counselor (4) and Psychiatry (1). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.