Crestview Recovery Services, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

CRESTVIEW RECOVERY SERVICES, LLC

Practice address

6027 SE Belmont St
Portland, OR 97215-1927

Phone

(503) 477-8495

Fax

(954) 746-8231

NPI assigned

Apr 29, 2016

Organization subpart

No

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

Authorized official

Name

Colin Moore

Title

Ceo

Phone

(503) 477-8495

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lio Nylund, CADC-R

  • Addiction (Substance Use Disorder) Counselor
  • Portland, OR
  • NPI 1184491227
  NPD (past)
• Eric Joseph Pinkston, QMHP-C, CADC III

  • Mental Health Counselor
  • Milwaukie, OR
  • NPI 1780250043
  NPD (past)

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

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478476800000",
    "number": "1447605258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6027 SE BELMONT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972151927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6027 SE BELMONT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972151927",
            "telephone_number": "503-477-8495",
            "fax_number": "954-746-8231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTVIEW RECOVERY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-29",
        "last_updated": "2016-11-07",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "COLIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "503-477-8495"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Michael Crespo
• Sergio Manuel Crespo, M.D.
• Edward Joseph Cressler Jr., LPC, CST
• Creston SNF Healthcare LLC (Reedwood Post Acute)
• Crestview Operations, LLC (Avamere Crestview of Portland)
• Emily Creswick, LPN
• Joachim Creten, MASSAGE THERAPIST
• Kaecee Creveling, L.AC., MACOM
• Jacob E. Creviston, DNP, RN, PMHNP-BC
• Criag W. Calhoun MD PC

• Substance Use Disorder Rehabilitation Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.