Organization
CRC HEALTH OREGON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JESSE JAMES (CTC DIRECTOR)
(503) 252-3949
Entity
Organization
Contact information
Practice address
6601 NE 78TH CT, SUITE A3, PORTLAND, OR 97218-2823
(503) 252-3949
Mailing address
6601 NE 78TH CT, SUITE A3, PORTLAND, OR 97218-2823
(503) 252-3949
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/23/2016
Last updated
09/23/2016
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