Organization
CRESTVIEW RECOVERY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLIN MOORE (CEO)
(503) 477-8495
Entity
Organization
Contact information
Practice address
6027 SE BELMONT ST, PORTLAND, OR 97215-1927
(503) 477-8495
(954) 746-8231
Mailing address
6027 SE BELMONT ST, PORTLAND, OR 97215-1927
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
04/29/2016
Last updated
11/07/2016
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