COLUMBIA RIVER CORRECTIONAL FACILITY - NPI 1942349147

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.

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About Columbia River Correctional Facility NPPES

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

COLUMBIA RIVER CORRECTIONAL FACILITY (NPI 1942349147) is a healthcare organization registered as a multi-specialty in Portland, Oregon and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through November 2, 2026 and lists Enrique Sama, Vp, Human Resources, as its authorized official.

NPPES Registry Identity

NPI1942349147

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameCASCADIA BEHAVIORAL HEALTHCARE INC

Location Address9111 NE SUNDERLAND RDPortland, OR 97211-1708

Mailing AddressPo Box 8459Portland, OR 97207-8459 · (503) 238-0769 · Fax (503) 552-6208

Phone(503) 280-6646

Fax(503) 280-6081

Organization SubpartYes

Authorized OfficialEnrique SamaVp, Human Resources · (503) 963-7791

Enumeration DateFebruary 5, 2007

Last NPPES UpdateJune 12, 2008

✔ NPI 1942349147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

9111 NE SUNDERLAND RD, Portland, OR 97211

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Other Names 1

Other NameColumbia River Correctional Facility

Other Identifiers 3

Medicaid226398OR

Medicaid223347OR

Medicare PIN0000WCGZLOR

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 38D2198728
Facility Type: Prison
Certificate Effective Date: November 03, 2024
Certificate Expiration Date: November 02, 2026
Laboratory Director: DR. WARREN ROBERTS
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Columbia River Correctional Facility to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.