National Provider Identifier Database

CRC HEALTH OREGON LLC
Methadone

An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.


Contact Information

CRC HEALTH OREGON, LLC
10763 SW GREENBURG RD
STE 100
TIGARD, OR97223
Phone: 503-684-8159
Fax: 503-598-0934
Website:
Specialty Taxonomy Code
* Methadone 261QM2800X
Rehabilitation, Substance Use Disorder 261QR0405X

* Indicates primary specialty

NPI Profile & details for CRC HEALTH OREGON, LLC

NPI Number 1184775967
Legal business name
LBN
CRC HEALTH OREGON, LLC
Authorized official BRIAN FARLEY - (VP & SECRETARY)
Entity Organization
Organization subpart Yes
Enumeration date 01/16/2007
Last updated 10/24/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • OR Medicaid: 028383

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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