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FQHCLA433D Cascadia Health (Terminated)
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Main Details
Name
Cascadia Health
Subdivision Name
Cascadia Clackamas Health Center
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-034402
340B ID
FQHCLA433D
Grant Number
LALCS40208
Additional Details
Current Program Status
Terminated
Registration Date
10/4/2022
Participating Start Date
1/1/2023
Participating Approval Date
11/3/2022
Last Recertification Date
1/30/2023
Termination Date
Termination Reason
4/1/2024
Site closure
Contacts
Authorizing Official
Cascadia Behavioral Healthcare
Derald Walker, President/CEO
(503) 238-0769
Primary Contact
Cascadia Health
Eric Sevos, Chief Strategy Officer
(503) 804-1600
Addresses
Street Address
17070 SE Mcloughlin Blvd
Milwaukie, OR 97267-4960
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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