CRESTVIEW RECOVERY SERVICES LLC NPI 1447605258

NPI Information

  • NPI: 1447605258
  • Provider Name: CRESTVIEW RECOVERY SERVICES, LLC
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • CLIA Number: 38D2270748
  • Address: 6027 SE BELMONT ST
    PORTLAND, OR
    ZIP 97215
  • Phone: (503) 477-8495

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NPI Details

CRESTVIEW RECOVERY SERVICES, LLC is a rehabilitation and substance use disorder clinic center in Portland, OR. CRESTVIEW RECOVERY SERVICES, LLC NPI is 1447605258. The provider is registered as an organization entity type.

The provider's business location address is:

6027 SE BELMONT ST
PORTLAND, OR
ZIP 97215-927
Phone: (503) 477-8495
Fax: (954) 746-8231

The provider's authorized official is Colin Moore .
The authorized official title is Ceo and has the following contact phone number (503) 477-8495.

The CLIA number assigned to this NPI record is 38D2270748 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/29/2016 and was last updated on 11/7/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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