| Crc Health Dba Allied Health | |
|
808 Sw Alder St Ste 300 Portland OR 97205-3133 | |
| (503) 226-2203 | |
| Not Available |
| Full Name | Crc Health Dba Allied Health |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 808 Sw Alder St Ste 300, Portland, Oregon |
| Authorized Official Name and Position | Mike Tierney (CLINIC DIRECTOR) |
| Authorized Official Contact | 5032262203 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crc Health Dba Allied Health 808 Sw Alder Street Suite 300 Portland OR 97205 Ph: (503) 226-2203 | Crc Health Dba Allied Health 808 Sw Alder St Ste 300 Portland OR 97205-3133 Ph: (503) 226-2203 |
| NPI Number | 1326432154 |
|---|---|
| Provider Enumeration Date | 03/18/2015 |
| Last Update Date | 03/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326432154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (Oregon) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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