<Unavail>
LBN: Crc Health Oregon, Llc
<Unavail> is an health care organization with primary practice located at 324 Nw Davis St. , Portland OR 97209. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Methadone, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Methadone is the primary health care specialty.
Crc Health Oregon, Llc can be contacted via phone (503) 226-2203, or through Farley, Brian Phillip via phone (615) 861-6000.
Contact Information
Primary practice address
324 Nw Davis St.
Portland OR 97209
Phone: (503) 226-2203
Fax: (503) 223-4231
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Methadone | 261QM2800X | ||
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X | Oregon |
Profile Details
| NPI number | 1801947668 |
|---|---|
| LBN Legal business name | Crc Health Oregon, Llc |
| DBA Doing business as | <Unavail> |
| Authorized official | Farley, Brian Phillip |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jan 16th, 2007 |
| Last updated | Oct 24th, 2024 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801947668 | NPPES |
| Oregon | MEDICAID | 028385 |
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