NPIMap

Organization Active NPI

CRC Health Oregon

  • Case Management Agency
  • Portland, OR
National Provider Identifier
1215488200
Registry record updated Oct 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
CRC HEALTH OREGON
Practice address
6601 NE 78TH CT Ste A3
Portland, OR 97218-2823
Phone
(503) 252-3949
Fax
(503) 252-4027
NPI assigned
Oct 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Fjesse A James, CADC II
Title
CTC Director
Phone
(503) 252-3949

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

6601 NE 78TH CT Ste A3
Portland, OR 97218-2823

Mailing address

6601 NE 78TH CT Ste A3
Portland, OR 97218-2823
Phone (503) 252-3949

National Provider Directory

National Provider Directory
Tax ID family
CRC Health Oregon16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476403200000",
    "number": "1215488200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 NE 78TH CT STE A3",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972182823",
            "telephone_number": "503-252-3949",
            "fax_number": "503-252-4027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 NE 78TH CT STE A3",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972182823",
            "telephone_number": "503-252-3949",
            "fax_number": "503-252-4027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRC HEALTH OREGON",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-14",
        "last_updated": "2016-10-14",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "FJESSE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CTC DIRECTOR",
        "authorized_official_telephone_number": "503-252-3949",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CADC II"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.