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Crc Allied Helath

NPI 1912390956ActiveOrganization· Intermediate Care Facility, Mental Illness· Portland, OR

Intermediate Care Facility, Mental Illness in Portland, Oregon, registered in NPPES in March 2015, part of Crc Allied Health. The authorized official on file is Michael Tierney, Clinic Director.

Overview

NPI1912390956
StatusActive
Entity typeOrganization (subpart)
Parent organizationCrc Allied Health
NPI issuedMar 16, 2015
Last updated in NPPESMar 16, 2015

Specialties and licenses

TaxonomyCodeLicenseState
Intermediate Care Facility, Mental Illness Primary310500000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Intermediate Care Facility, Mental Illness providers in Portland

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