Organization
ALBERTINA KERR CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER J KRENK MSW (CEO)
(503) 239-8101
Entity
Organization
Contact information
Practice address
722 NE 162ND AVE, PORTLAND, OR 97230
(503) 255-4205
(503) 255-5095
Mailing address
424 NE 22ND AVE, PORTLAND, OR 97232
(503) 239-8101
(503) 239-8106
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
2080P0006X
Developmental - Behavioral Pediatrics Physician
—
—
225X00000X
Occupational Therapist
—
—
231H00000X
Audiologist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004127
—
OR
Enumeration date
12/22/2006
Last updated
09/24/2013
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