CRC ALLIED HEALTH NPI 1447643556

Community/Behavioral Health in Portland, OR

NPI 1447643556 Organization Community/Behavioral Health

About CRC ALLIED HEALTH

Crc Allied Health is a provider established in Portland, Oregon specializing in community/behavioral health. The NPI number of Crc Allied Health is 1447643556 and was assigned on March 2015. The practitioner's primary taxonomy code is 251S00000X with license number 130906 (OR). The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Mike Tierny Bs Cadc Ii (Clinical Director)

NPI

1447643556

Provider NameCRC ALLIED HEALTH
Provider Location Address808 SW ALDER ST STE #300 PORTLAND, OR 97205
Provider Mailing Address808 SW ALDER ST STE #300 PORTLAND, OR 97205
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date03-13-2015
Last Update Date03-13-2015


Primary Taxonomy

Taxonomy Code251S00000X
ClassificationCommunity/Behavioral Health
TypeAgencies
License No.130906
License StateOR
Taxonomy DescriptionA private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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.

Business Address

CRC ALLIED HEALTH
808 SW ALDER ST
STE #300
PORTLAND, OR
ZIP 97205
Phone: (503) 226-2203
Fax: (503) 223-4231

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Mailing Address

CRC ALLIED HEALTH
808 SW ALDER ST
STE #300
PORTLAND, OR
ZIP 97205
Phone: (503) 226-2203
Fax: (503) 223-4231



Authorized Official

Authorized Official Name MIKE TIERNY BS CADC II
Authorized Official TitleCLINICAL DIRECTOR
Authorized Official Phone(503) 226-2203

Other Providers at the same location


The following 13 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013908508 AAILEEN SUE CARMELL MS
Individual
Counselor (Addiction (Substance Use Disorder))808 SW ALDER ST STE 300
PORTLAND, OR 97205
(503) 226-2203
1164543450MS. BEBE FRANCIS DURRANI MS
Individual
Counselor (Mental Health)808 SW ALDER ST
PORTLAND, OR 97205
(503) 226-2203
1174746473 SONG YANG RN
Individual
Registered Nurse808 SW ALDER ST SUITE 300
PORTLAND, OR 97205
(503) 226-2203
1558584839 ROBYN E DAVIS LPN
Individual
Licensed Practical Nurse808 SW ALDER ST SUITE 300
PORTLAND, OR 97205
(503) 226-2203
1003030057 MICHAEL R COON LPN
Individual
Licensed Practical Nurse808 SW ALDER ST SUITE 300
PORTLAND, OR 97205
(503) 226-2203
1063637304 JOAN L BOOTH CADCII
Individual
Counselor (Addiction (Substance Use Disorder))808 SW ALDER ST STE 300
PORTLAND, OR 97205
(503) 226-2203
1104040518 MONTE C PELTO CADCII
Individual
Counselor (Addiction (Substance Use Disorder))808 SW ALDER ST STE 300
PORTLAND, OR 97205
(503) 226-2203
1902021868 SUSAN L WEST LPN
Individual
Licensed Practical Nurse808 SW ALDER ST STE 300
PORTLAND, OR 97205
(503) 226-2203
1366611204 JOSEPH M PEPPARD SR.
Individual
Counselor (Addiction (Substance Use Disorder))808 SW ALDER ST STE 300
PORTLAND, OR 97205
(503) 226-2203
1871805481MS. MICHELLE LEE PEPPARD NEWTON
Individual
Counselor (Addiction (Substance Use Disorder))808 SW ALDER ST SUITE 300
PORTLAND, OR 97205
(503) 226-2203
1194037614 HOLLY CHRISTINE MARTINEZ CADCII
Individual
Counselor (Addiction (Substance Use Disorder))808 SW ALDER ST SUITE 300
PORTLAND, OR 97205
(503) 226-2203
1497068621MS. DEIDRE SUE MCCASLIN-NOYES LPN
Individual
Licensed Practical Nurse808 SW ALDER ST STE. #300
PORTLAND, OR 97205
(503) 226-2203
1912390956CRC ALLIED HELATH
Organization
Intermediate Care Facility, Mental Illness808 SW ALDER ST #300
PORTLAND, OR 97205
(503) 226-2203

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.