CRC ALLIED HELATH (NPI# 1912390956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912390956 |
| Entity Type | Organization |
| Organization Name | CRC ALLIED HELATH |
| Practice Address |
808 Sw Alder St #300 Portland OR 97205-3133 |
| Practice Telephone | 5032262203 |
| Practice Fax Number | 5032234231 |
| Mailing Telephone | 5032262203 |
| Mailing Fax Number | 5032234231 |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2015-03-16 |
| Authorized Official Name | MICHAEL TIERNEY (CLINIC DIRECTOR) |
| Authorized Official Telephone | 5032262203 |
| Is Organization Subpart | Y |
| Parent Organization Name | CRC ALLIED HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310500000X | Intermediate Care Facility, Mental Illness | Nursing & Custodial Care Facilities |
| Street Address |
808 SW ALDER ST #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 |
| 1447643556 | Crc Allied Health | Community/Behavioral Health | 808 Sw Alder St, Ste #300, Portland, OR 97205-3133 | 2015-03-13 |
| 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 | 310500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mental Illness |
| A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821024977 | Geistlinger Enterprises Inc | Intermediate Care Facility, Mental Illness | 34 Ne 20th, Portland, OR 97232 | 2006-06-23 |
| 1013252618 | Trillium Family Services | Intermediate Care Facility, Mental Illness | 3415 Se Powell Blvd, Portland, OR 97202-3371 | 2012-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558635672 | Telecare Corporation | Intermediate Care Facility, Mental Illness | 20370 Poe Sholes Dr., Bend, OR 97701 | 2012-03-07 |
Please comment or provide details below to improve the information on CRC ALLIED HELATH.
| 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.