OrganizationActive
Crc Allied Helath
NPI 1912390956 · Mental Illness Intermediate Care Facility · Portland, OR
Provider details
- NPI number
- 1912390956
- Entity type
- Organization
- Primary specialty
- Mental Illness Intermediate Care FacilityNursing & Custodial Care Facilities
- Parent organization
- Crc Allied Health
- Organization subpart
- Yes
- Authorized official
- Michael Tierney, Clinic Director(503) 226-2203
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
808 Sw Alder St
#300
Portland, OR 97205-3133
Phone: (503) 226-2203
Fax: (503) 223-4231
Approximate (ZIP-level) locationGet directions
Mailing address
808 Sw Alder St
Portland, OR 97205-3133
Registry dates
- Enumerated
- 2015-03-16
- Last updated
- 2015-03-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.