CRC HEALTH OREGON (NPI# 1396294005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396294005 |
| Entity Type | Organization |
| Organization Name | CRC HEALTH OREGON |
| Practice Address |
6601 Ne 78th Ct Suite A3 Portland OR 97218-2823 |
| Practice Telephone | 5032523949 |
| Mailing Telephone | 5032523949 |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2016-09-23 |
| Authorized Official Name | MR. JESSE JAMES (CTC DIRECTOR) |
| Authorized Official Telephone | 5032523949 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427109222 | Crc Health Oregon | Clinic/Center | 885 Sw 30th St, Ontario, OR 97914-4626 | 2007-01-16 |
| 1215488200 | Crc Health Oregon | Case Management | 6601 Ne 78th Ct Ste A3, Portland, OR 97218-2823 | 2016-10-14 |
| 1407219157 | Crc Health Oregon | Clinic/Center | 6185 Paseo Del Norte, Ste 150, Carlsbad, CA 92011-1152 | 2016-03-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | CRC HEALTH OREGON, LLC | 6100 Tower Circle, Suite 1000, Franklin, TN 37067 |
| Street Address |
6601 NE 78TH CT SUITE A3 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97218-2823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992072607 | Erin Mccabe | Counselor | 6601 Ne 78th Ct, Suite A3, Portland, OR 97218-2823 | 2011-11-23 |
| 1932609591 | Teresa Chilton | Counselor | 6601 Ne 78th Ct, Portland, OR 97218-2823 | 2018-02-20 |
| 1508391897 | Julia Ann Cathey | Licensed Practical Nurse | 6601 Ne 78th Ct, Portland, OR 97218-2823 | 2017-04-25 |
| 1912439084 | Maurice Boss | Licensed Practical Nurse | 6601 Ne 78th Ct, Suite A3, Portland, OR 97218-2823 | 2017-03-29 |
| 1710418181 | Emily Creswick | Licensed Practical Nurse | 6601 Ne 78th Ct, Suite A-3, Portland, OR 97218-2823 | 2017-03-27 |
| 1699206979 | Jenna M King | Counselor | 6601 Ne 78th Ct, Suite A3, Portland, OR 97218-2823 | 2017-03-27 |
| 1972044410 | Niccole Trautman | Counselor | 6601 Ne 78th Ct, Suite A-3, Portland, OR 97218-2823 | 2017-03-16 |
| 1538603055 | Katie Green | Counselor | 6601 Ne 78th Ct, Suite A3, Portland, OR 97218-2823 | 2016-12-19 |
| 1437609138 | Kyle Cassidy | Counselor | 6601 Ne 78th Ct, Suite A3, Portland, OR 97218-2823 | 2016-10-06 |
| 1083168090 | Corinne Stovall | Counselor | 6601 Ne 78th Ct, Suite A3, Portland, OR 97218-2823 | 2016-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043852726 | Alex Margarito | Specialist/Technologist | 6801 Necornfoot Rd, Fpo, AA 97218 | 2019-10-14 |
| 1083101943 | Joyce M Larkins | Specialist | 5852 Ne 42nd Ave., Portland, OR 97218 | 2018-04-17 |
| 1740709658 | Alyssa M Cavalier | Licensed Practical Nurse | 6601 Ne 78th Ct., Suite A3, Portland, OR 97218 | 2017-09-12 |
| 1093266405 | Jean Hansen | Counselor | 6601ne 78th Court Suite, Suite A3, Portland, OR 97218 | 2016-10-20 |
| 1174913636 | Kirsten Kelly-chambers | Counselor | 4310 Ne Killinsworth Street, Portland, OR 97218 | 2015-02-04 |
| 1386962074 | Kathleen Kuhlmey Sheridan | Nurse Practitioner | 5215 Ne 52nd Ave, Portland, OR 97218 | 2010-05-06 |
| 1003049909 | Kevin Richardson | Adult Companion | 5029 Ne Killingsworth St, Portland, OR 97218 | 2009-08-26 |
| 1366676462 | Bobbi Gabriele Kennedy | Military Health Care Provider | 6801 Ne Cornfoot Road, Portland, OR 97218 | 2009-05-05 |
| 1396980751 | Jamie Mercile Taylor | Counselor | 4310 N.e Kilingsworth, Portland, OR 97218 | 2008-12-12 |
| 1902041460 | Brandi Danielle Hess | Counselor | 4450 Ne 76th, Portland, OR 97218 | 2008-12-11 |
| Find all providers in zip 97218 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710586821 | Plum Consulting LLC | Community/Behavioral Health | 1161 Nw Overton St Apt 1501, Portland, OR 97209-2549 | 2020-10-20 |
| 1790302677 | Hope for All Community Services LLC | Community/Behavioral Health | 68 Bishop St, Building 1, Unit 1, Portland, ME 04103 | 2020-06-26 |
| 1184247850 | Altoris Behavior Support LLC | Community/Behavioral Health | 3880 Se 8th Ave Ste 105, Portland, OR 97202-3772 | 2020-05-28 |
| 1619599636 | Rivers Way Training Clinic | Community/Behavioral Health | 2049 Nw Hoyt, Portland, OR 97209 | 2020-05-13 |
| 1578102216 | Act Nw | Community/Behavioral Health | 909 Nw 24th Ave, Portland, OR 97210-3009 | 2019-12-28 |
| 1194284349 | Oriel Offit, Clinical Psychologist, LLC | Community/Behavioral Health | 222 Saint John St Ste 227, Portland, ME 04102-3058 | 2019-03-18 |
| 1396210977 | Ask Counseling LLC | Community/Behavioral Health | 8885 Sw Canyon Rd Ste 108, Portland, OR 97225-3431 | 2018-10-10 |
| 1790260313 | Bernard J. Gordon Md Pa LLC | Community/Behavioral Health | 145 Newbury St Fl 1, Portland, ME 04101-4261 | 2018-09-28 |
| 1497235576 | Saturn Supports LLC | Community/Behavioral Health | 3228 Sw Beaverton Hillsdale Hwy Apt 23, Portland, OR 97239-1193 | 2018-08-17 |
| 1770063067 | Nami Multnomah | Community/Behavioral Health | 524 Ne 52nd Ave, Portland, OR 97213-3047 | 2018-08-16 |
| Find all providers in PORTLAND | ||||
Please comment or provide details below to improve the information on CRC HEALTH OREGON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.