Organization
CRC ALLIED HELATH
Active
Parent organization
CRC ALLIED HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
CRC ALLIED HEALTH
Authorized official
MICHAEL TIERNEY (CLINIC DIRECTOR)
(503) 226-2203
Entity
Organization
Contact information
Practice address
808 SW ALDER ST, #300, PORTLAND, OR 97205-3133
(503) 226-2203
(503) 223-4231
Mailing address
808 SW ALDER ST, #300, PORTLAND, OR 97205-3133
(503) 226-2203
(503) 223-4231
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
—
—
Other
Enumeration date
03/16/2015
Last updated
03/16/2015
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