Organization · Type 2 NPI

CRC Allied Helath

Mental Illness Intermediate Care Facility · Portland, OR

NPI number 1912390956 Active

Practice location

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

Fax (503) 223-4231

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Intermediate Care Facility Primary 310500000XNone listed

Mental Illness Intermediate Care Facility: A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.

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About NPI 1912390956

CRC Allied Helath's National Provider Identifier is 1912390956, issued on Mar 16, 2015. The primary taxonomy on file is Mental Illness Intermediate Care Facility (310500000X), and the practice location is in Portland, OR. The record was last updated on Mar 16, 2015.