Organization
ALLIED HEALTH SERVICES
Active
Organization
ALLIED HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL TIERNEY CACD II (DIRECTOR)
(503) 226-2203
Entity
Organization
Contact information
Practice address
324 NW DAVIS ST, PORTLAND, OR 97209-3925
(503) 226-2203
(503) 223-4231
Mailing address
324 NW DAVIS ST, PORTLAND, OR 97209-3925
(503) 226-2203
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
140333
OR
Other
Enumeration date
03/13/2015
Last updated
05/14/2024
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