Organization
CRC HEALTH DBA ALLIED HEALTH
Active
Organization
CRC HEALTH DBA ALLIED HEALTH
Active
Parent organization
CCRC HEALTH GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
CCRC HEALTH GROUP
Authorized official
MIKE TIERNEY CADCII (CLINIC DIRECTOR)
(503) 226-2203
Entity
Organization
Contact information
Practice address
808 SW ALDER ST STE 300, PORTLAND, OR 97205-3133
(503) 226-2203
Mailing address
808 SW ALDER STREET SUITE 300, PORTLAND, OR 97205
(503) 226-2203
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
OR
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/18/2015
Last updated
03/18/2015
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