NPIMap

Organization Active NPI

CRC Health Dba Allied Health

  • Community/Behavioral Health Agency
  • Portland, OR
National Provider Identifier
1326432154
Registry record updated Mar 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CRC HEALTH DBA ALLIED HEALTH
Practice address
808 SW Alder St Ste 300
Portland, OR 97205-3133
Phone
(503) 226-2203
NPI assigned
Mar 18, 2015
Organization subpart
Yes
Parent organization
CCRC HEALTH GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 18, 2015

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

Authorized official

Name
Mike Tierney, CADCII
Title
Clinic Director
Phone
(503) 226-2203

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X OR
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

808 SW Alder St Ste 300
Portland, OR 97205-3133

Mailing address

808 SW Alder Street Suite 300
Portland, OR 97205
Phone (503) 226-2203

National Provider Directory

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

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": "1426636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426636800000",
    "number": "1326432154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 SW ALDER STREET SUITE 300",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97205",
            "telephone_number": "503-226-2203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 SW ALDER ST STE 300",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972053133",
            "telephone_number": "503-226-2203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRC HEALTH DBA ALLIED HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CCRC HEALTH GROUP",
        "enumeration_date": "2015-03-18",
        "last_updated": "2015-03-18",
        "status": "A",
        "authorized_official_last_name": "TIERNEY",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "503-226-2203",
        "authorized_official_credential": "CADCII"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "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 Mar 18, 2015; 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.