NPI 1477618353 · live from the CMS NPI Registry
Albertina Kerr Centers
Community/Behavioral Health in Portland, OR. National Provider Identifier 1477618353, active.
NPI record
| NPI | 1477618353 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Community/Behavioral Health 251S00000X |
| Practice location | 722 Ne 162nd Ave, Portland, OR 97230 |
| Practice phone | 503-255-4205 |
| Mailing address | 424 Ne 22nd Ave, Portland, OR 97232 |
| Enumerated | December 22, 2006 |
| Last updated | September 24, 2013 |
| Authorized official | Christopher Krenk, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Residential Treatment Facility, Emotionally Disturbed Children | 322D00000X | — |
| Psychologist | 103T00000X | — |
| Pediatrics, Developmental - Behavioral Pediatrics | 2080P0006X | — |
| Occupational Therapist | 225X00000X | — |
| Audiologist | 231H00000X | — |
| Speech-Language Pathologist, | 235Z00000X | — |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | — |
| Community/Behavioral Health primary | 251S00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.