Individual provider · Type 1 NPI

Cheryl Runyan

Mental Illness Community Based Residential Treatment Facility · Portland, OR

NPI number 1205399656 Active

Practice location

3415 SE Powell Blvd
Portland, OR 97202-3371

Call (503) 234-9591 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000XNone listed

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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About NPI 1205399656

Cheryl Runyan's National Provider Identifier is 1205399656, issued on Apr 12, 2019. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Portland, OR. The record was last updated on Apr 12, 2019.