IndividualActive
Cheryl Runyan
NPI 1205399656 · Mental Illness Community Based Residential Treatment Facility · Portland, OR
Provider details
- NPI number
- 1205399656
- Entity type
- Individual
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Residential Treatment Facilities
Practice location
3415 Se Powell Blvd
Portland, OR 97202-3371
Phone: (503) 234-9591
Approximate (ZIP-level) locationGet directions
Mailing address
3415 Se Powell Blvd
Portland, OR 97202-3371
Registry dates
- Enumerated
- 2019-04-12
- Last updated
- 2019-04-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.