CRC ALLIED HEALTH (NPI# 1447643556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447643556 |
| Entity Type | Organization |
| Organization Name | CRC ALLIED HEALTH |
| Practice Address |
808 Sw Alder St Ste #300 Portland OR 97205-3133 |
| Practice Telephone | 5032262203 |
| Practice Fax Number | 5032234231 |
| Mailing Telephone | 5032262203 |
| Mailing Fax Number | 5032234231 |
| Enumeration Date | 2015-03-13 |
| Last Update Date | 2015-03-13 |
| Authorized Official Name | MIKE TIERNY (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 5032262203 |
| Authorized Official Credential | BS CADC II |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 130906 | OR | Agencies |
| Street Address |
808 SW ALDER ST STE #300 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97205-3133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013908508 | Aaileen Sue Carmell | Counselor | 808 Sw Alder St, Ste 300, Portland, OR 97205-3133 | 2005-11-02 |
| 1912390956 | Crc Allied Helath | Intermediate Care Facility, Mental Illness | 808 Sw Alder St, #300, Portland, OR 97205-3133 | 2015-03-16 |
| 1497068621 | Deidre Sue Mccaslin-noyes | Licensed Practical Nurse | 808 Sw Alder St, Ste. #300, Portland, OR 97205-3133 | 2010-07-16 |
| 1194037614 | Holly Christine Martinez | Counselor | 808 Sw Alder St, Suite 300, Portland, OR 97205-3133 | 2010-07-13 |
| 1871805481 | Michelle Lee Peppard Newton | Counselor | 808 Sw Alder St, Suite 300, Portland, OR 97205-3133 | 2010-07-12 |
| 1366611204 | Joseph M Peppard Sr. | Counselor | 808 Sw Alder St, Ste 300, Portland, OR 97205-3133 | 2008-02-25 |
| 1902021868 | Susan L West | Licensed Practical Nurse | 808 Sw Alder St, Ste 300, Portland, OR 97205-3133 | 2007-04-16 |
| 1063637304 | Joan L Booth | Counselor | 808 Sw Alder St, Ste 300, Portland, OR 97205-3133 | 2007-04-13 |
| 1104040518 | Monte C Pelto | Counselor | 808 Sw Alder St, Ste 300, Portland, OR 97205-3133 | 2007-04-13 |
| 1003030057 | Michael R Coon | Licensed Practical Nurse | 808 Sw Alder St, Suite 300, Portland, OR 97205-3133 | 2007-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871026062 | Leila Soltani | Dentist | 430 Sw 13th Ave Apt 2010, Portland, OR 97205 | 2017-04-05 |
| 1114374949 | Elizabeth Alire | Counselor | 1411 Sw Morrison St., Portland, OR 97205 | 2016-05-23 |
| 1508237462 | Pacific Psychology and Comprehensive Health Center | Community/Behavioral Health | 1411 Sw Morrison Ave, Suite 310, Portland, OR 97205 | 2015-10-16 |
| 1265803761 | Alana Branson | Naturopath | 1033 Sw Yamhill Street, Suite 403, Portland, OR 97205 | 2015-10-10 |
| 1720458011 | Kate Ohene | Counselor | 1411 Sw Morrison Street, Suite 310, Portland, OR 97205 | 2015-09-30 |
| 1285004671 | Christina Nannette Mendoza | Counselor | 1411 Sw Morriston Street, 310, Portland, OR 97205 | 2015-09-29 |
| 1083095947 | Patricia Burton | Registered Nurse | 1312 Sw Washinghton, Portland, OR 97205 | 2015-06-16 |
| 1649663071 | Huey Holistic | Clinic/Center | 1221 Sw Yamill, Suite 300, Portland, OR 97205 | 2015-03-10 |
| 1376952796 | Joan Kendall Ayala | Counselor | 610 Sw Alder St Ste 915, Portland, OR 97205 | 2014-08-11 |
| 1316356165 | Satheara Sin | Massage Therapist | 1033 Sw Yamhill St. #403, Portland, OR 97205 | 2014-08-06 |
| Find all providers in zip 97205 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710586821 | Plum Consulting LLC | Community/Behavioral Health | 1161 Nw Overton St Apt 1501, Portland, OR 97209-2549 | 2020-10-20 |
| 1790302677 | Hope for All Community Services LLC | Community/Behavioral Health | 68 Bishop St, Building 1, Unit 1, Portland, ME 04103 | 2020-06-26 |
| 1184247850 | Altoris Behavior Support LLC | Community/Behavioral Health | 3880 Se 8th Ave Ste 105, Portland, OR 97202-3772 | 2020-05-28 |
| 1619599636 | Rivers Way Training Clinic | Community/Behavioral Health | 2049 Nw Hoyt, Portland, OR 97209 | 2020-05-13 |
| 1578102216 | Act Nw | Community/Behavioral Health | 909 Nw 24th Ave, Portland, OR 97210-3009 | 2019-12-28 |
| 1194284349 | Oriel Offit, Clinical Psychologist, LLC | Community/Behavioral Health | 222 Saint John St Ste 227, Portland, ME 04102-3058 | 2019-03-18 |
| 1396210977 | Ask Counseling LLC | Community/Behavioral Health | 8885 Sw Canyon Rd Ste 108, Portland, OR 97225-3431 | 2018-10-10 |
| 1790260313 | Bernard J. Gordon Md Pa LLC | Community/Behavioral Health | 145 Newbury St Fl 1, Portland, ME 04101-4261 | 2018-09-28 |
| 1497235576 | Saturn Supports LLC | Community/Behavioral Health | 3228 Sw Beaverton Hillsdale Hwy Apt 23, Portland, OR 97239-1193 | 2018-08-17 |
| 1770063067 | Nami Multnomah | Community/Behavioral Health | 524 Ne 52nd Ave, Portland, OR 97213-3047 | 2018-08-16 |
| Find all providers in PORTLAND | ||||
Please comment or provide details below to improve the information on CRC ALLIED HEALTH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.