Crc Health Dba Allied Health
Community/Behavioral Health in Portland, OR. Organization (NPI-2).
NPI number1326432154
StatusActive
Last updated in NPPESMar 18, 2015
Details
- NPI
- 1326432154
- Entity type
- Organization (NPI-2)
- Legal business name
- Crc Health Dba Allied Health
- Organization subpart
- Yes
- Enumeration date
- Mar 18, 2015
- Last updated
- Mar 18, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | OR |
Practice location
808 Sw Alder St Ste 300Portland, OR 97205-3133
Phone 503-226-2203
Mailing address
808 Sw Alder Street Suite 300Portland, OR 97205
Phone 503-226-2203
Authorized official
Mike Tierney
Clinic Director
5032262203
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