CRC HEALTH OREGON, LLC (NPI# 1558412320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558412320 |
| Entity Type | Organization |
| Organization Name | CRC HEALTH OREGON, LLC |
| Other Organization Name | ALLIED HEALTH SERVICES BELMONT |
| Practice Address |
2600 Se Belmont St Portland OR 97214 |
| Mailing Address |
6185 Paseo Del Norte Ste 150 Carlsbad CA 92011-1155 |
| Practice Telephone | 5032395738 |
| Practice Fax Number | 5032398429 |
| Mailing Telephone | 8552592288 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-02-26 |
| Authorized Official Name | KIM SANDERSON (INTERIM PRESIDENT, CTC DIVISION) |
| Authorized Official Telephone | 8552592288 |
| Is Organization Subpart | Y |
| Parent Organization Name | ACADIA HEALTHCARE COMPANY, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
OR | Ambulatory Health Care Facilities | |
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 028381 | 05 |
| Other Name | Type Code |
|---|---|
| Allied Health Services Belmont | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225241441 | Crc Health Oregon, LLC | Clinic/Center | 777 Murphy Rd, Medford, OR 97504-8425 | 2007-05-07 |
| 1801947668 | Crc Health Oregon, LLC | Clinic/Center | 324 Nw Davis St., Portland, OR 97209 | 2007-01-16 |
| 1184775967 | Crc Health Oregon, LLC | Clinic/Center | 10763 Sw Greenburg Rd, Ste 100, Tigard, OR 97223 | 2007-01-16 |
| 1932250719 | Crc Health Oregon, LLC | Clinic/Center | 6601 Ne 78th Court, Ste A3, Portland, OR 97218 | 2007-01-16 |
| 1427397074 | Crc Health Oregon, LLC | Clinic/Center | 1160 Liberty St Se, Salem, OR 97302 | 2013-02-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | CRC HEALTH OREGON, LLC | 6100 Tower Circle, Suite 1000, Franklin, TN 37067 |
| Street Address |
2600 SE BELMONT ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770195372 | Ashley Schultz | Counselor | 2600 Se Belmont St, Portland, OR 97214-2916 | 2020-08-17 |
| 1407477896 | Tabatha L Cottis | Counselor | 2600 Se Belmont St, Portland, OR 97214-2916 | 2020-04-27 |
| 1679119085 | Mark William Hansen | Counselor | 2600 Se Belmont St, Portland, OR 97214-2916 | 2019-11-20 |
| 1316580509 | Mark Duane Ellis | Licensed Practical Nurse | 2600 Se Belmont St, Portland, OR 97214-2916 | 2019-10-21 |
| 1881152312 | Kristina Pirozzolo | Counselor | 2600 Se Belmont St, Portland, OR 97214-2916 | 2019-03-04 |
| 1902379506 | John Blaufus | Counselor | 2600 Se Belmont St, Portland, OR 97214-2916 | 2019-01-07 |
| 1043782857 | Phoebe Caldwell | Counselor | 2600 Se Belmont St, Portland, OR 97214-2916 | 2018-12-19 |
| 1295200343 | Jeannie M Taylor | Counselor | 2600 Se Belmont St, Portland, OR 97214-2916 | 2018-10-04 |
| 1548749088 | Brooke Lauren Bonawitz | Licensed Practical Nurse | 2600 Se Belmont St, Portland, OR 97214-2916 | 2018-08-07 |
| 1396231601 | Rachel Alquist | Counselor | 2600 Se Belmont St, Portland, OR 97214-2916 | 2018-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773155 | Mamie Nzigire Zagabe | Peer Specialist | 605 Se Cesar Estrada Chavez Blvd, Portland, OR 97214 | 2020-09-01 |
| 1336772243 | Alexandra Mcbryde | Acupuncturist | 959 Se Division St, #315, Portland, OR 97214 | 2020-02-19 |
| 1356973770 | Laura Kille | Counselor | Wise Counsel and Comfort, 2045 Se Hawthorne Blvd., Portland, OR 97214 | 2020-02-05 |
| 1639616436 | Erin Elizabeth Weaver | Acupuncturist | 1330 Se Cesar E Chavez Blvd. Center for Natural Meidici, Portland, OR 97214 | 2017-01-31 |
| 1780126045 | Katherine Aravamudan, Lpc, LLC | Community/Behavioral Health | 1312 E. Burnside Street, Portland, OR 97214 | 2016-11-17 |
| 1003358441 | Michelle Jean Meadows | Massage Therapist | 2804 Se Lincoln St, Portland, OR 97214 | 2016-11-16 |
| 1629429311 | Stephanie Tolentino | Counselor | 605 Se Cesar E Chavez Blvd., Portland, OR 97214 | 2016-06-24 |
| 1790141166 | Marian Iris Dixon | Massage Therapist | 3810 Se Belmont St., Earthbody Wellness Center East, Portland, OR 97214 | 2016-01-14 |
| 1194194589 | Lutheran Community Services Northwest | Community/Behavioral Health | 605 Se Cesar E Chavez Bld, Portland, OR 97214 | 2015-09-16 |
| 1497123566 | Michele R. Stokes | Specialist | 2311 East Burnside B1, Portland, OR 97214 | 2015-09-08 |
| Find all providers in zip 97214 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992897193 | Ram Clinic Inc. | Clinic/Center | 3610 Ne 82nd Ave, Portland, OR 97220-5120 | 2006-09-28 |
| 1851808562 | Integrated Health Clinics Ne LLC | Clinic/Center | 3610 Ne 82nd Ave, Portland, OR 97220-5182 | 2018-01-03 |
| 1912233826 | Merrimack River Medical Services | Clinic/Center | 2300 Congress St, Portland, ME 04102-1908 | 2009-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386706919 | Marion County | Clinic/Center | 2045 Silverton Rd Ne, Salem, OR 97301-0100 | 2006-12-13 |
| 1427397074 | Crc Health Oregon, LLC | Clinic/Center | 1160 Liberty St Se, Salem, OR 97302 | 2013-02-01 |
| 1710933379 | County of Jackson | Clinic/Center | 140 South Holly Street, Medford, OR 97501 | 2006-05-25 |
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| 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.