NPI 1912390956

Crc Allied Helath

Organisation Mental Illness Intermediate Care Facility Portland, OR

Practice location

Address: 808 SW Alder St #300, Portland, OR 97205-3133
Phone: (503) 226-2203
Fax: (503) 223-4231

Authorised official

Name: Michael Tierney
Title: Clinic Director
Phone: (503) 226-2203

Registered specialties

Mental Illness Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310500000X

Other Intermediate Care Facility, Mental Illness providers in Oregon →

Registry record

NPI: 1912390956
Entity type: Organization
NPI issued: 16 Mar 2015
Record last updated: 16 Mar 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.