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

PACIFIC COMMUNITY CARE LINCOLN LLC
NPI 1720913965
Community Based Residential Treatment Facility, Mental Illness in Portland, OR

Active since June 17, 2026
12717 SE LINCOLN ST, PORTLAND, OR 97233(503) 734-5698(503) 207-6192 Get Directions Write a Review

NPPES record added: June 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pacific Community Care Lincoln Llc NPPES

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

PACIFIC COMMUNITY CARE LINCOLN LLC (NPI 1720913965) 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

NPI1720913965
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NamePACIFIC COMMUNITY CARE LINCOLN LLC
Location Address12717 SE LINCOLN STPortland, OR 97233-1372
Mailing Address10017 Ne 13th AvePortland, OR 97211-1563
Fax(503) 207-6192
Organization SubpartYesParent: Pacific Community Care Llc
Authorized OfficialEric ManziDirector Of Operations · (503) 734-5698
Enumeration DateJune 17, 2026
NPPES CertifiedJune 17, 2026
NPI 1720913965 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

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.

Community Based Residential Treatment Facility, Mental Illness
12717 SE LINCOLN ST
PORTLAND, OR 97233
Community Based Residential Treatment Facility, Mental Illness
12717 SE LINCOLN ST
PORTLAND, OR 97233

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 Lincoln LLC's NPI number?

The NPI number for Pacific Community Care Lincoln LLC is 1720913965. It was assigned to this organization in the NPPES registry on June 17, 2026.

Where is Pacific Community Care Lincoln LLC located?

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

What is Pacific Community Care Lincoln 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 Lincoln LLC was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days 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.