SOBER LIVING OREGON TREATMENT CENTER


Address: 10209 Se Division, Portland, OR 97266
Phone: 5037018397

SOBER LIVING OREGON TREATMENT CENTER (NPI# 1992204697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992204697
Entity Type Organization
Organization Name SOBER LIVING OREGON TREATMENT CENTER
Practice Address 10209 Se Division
Portland
OR 97266
Mailing Address 10209 Se Division St Bldg D
Portland
OR 97266-1372
Practice Telephone 5037018397
Enumeration Date 2018-02-08
Last Update Date 2018-02-08
Authorized Official Name GERALD TODD FLYNN (CLINICAL DIRECTOR)
Authorized Official Telephone 5038971916
Authorized Official Credential MA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
OR Ambulatory Health Care Facilities

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names SOBER LIVING OREGON TREATMENT CENTER LLC 9979 Se Old Town Ct, Happy Valley, OR 97086

Office Location

Street Address 10209 SE DIVISION
City PORTLAND
State OR
Zip Code 97266

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528545969 Willamette Pharmacy Pharmacy 10209 Se Division Build B Ste 100, Portland, OR 97266 2018-07-27
1699204024 Malori Christine Butler Registered Nurse 7335 Se 85th Ave., Portland, OR 97266 2017-06-08
1487028882 Emil Kunkel Naturopath 6318 Se 87th Ave, Portland, OR 97266 2015-11-23
1194195313 Cory Hall-martin Counselor 10011 Se Division St #305, Portland, OR 97266 2015-09-30
1336517721 Krispin Mayfield Counselor 10011 Se Division St., Suite 203, Portland, OR 97266 2015-09-02
1407247927 Syrena Nicholson Community Health Worker 7721 Se 92nd Avenue, Apt K, Portland, OR 97266 2015-02-06
1659777886 Berhanu Aynalem Mekbib Adult Companion 9125 Sw 55th, El Dorado, Portland, OR 97266 2014-11-17
1871930685 Felicitas Amelia Penaloza Behavioral Analyst 9911 Se Mt.scott Boulevard, Portland, OR 97266 2013-06-03
1710237326 Janna Renee Higgins Case Manager/Care Coordinator 9911 Se Mt. Scott Boulevard, Portland, OR 97266 2012-09-12
1336403310 Ignatius Mccarthy Case Manager/Care Coordinator 9911 Se Mt. Scott Boulevard, Portland, Oregon 97266, Portland, OR 97266 2012-06-25
Find all providers in zip 97266

Taxonomy Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952940298 New Start Program Clinic/Center 12180 Se Market St, Portland, OR 97216-3923 2020-01-03
1447605258 Crestview Recovery Services, LLC Clinic/Center 6027 Se Belmont St, Portland, OR 97215-1927 2016-04-29
1669856571 Portland Iop, LLC Clinic/Center 748 Se 181st Ave, Portland, OR 97233-4945 2015-07-10
1801947668 Crc Health Oregon, LLC Clinic/Center 324 Nw Davis St., Portland, OR 97209 2007-01-16
1558412320 Crc Health Oregon, LLC Clinic/Center 2600 Se Belmont St, Portland, OR 97214 2007-01-16
1932250719 Crc Health Oregon, LLC Clinic/Center 6601 Ne 78th Court, Ste A3, Portland, OR 97218 2007-01-16
1326056433 Lutheran Community Services Northwest Clinic/Center 605 Se Cesar E Chavez Blvd, Portland, OR 97214-3216 2006-08-04
1952360760 Transitions Counseling, Inc. Clinic/Center 583 Forest Ave, Portland, ME 04101-1547 2006-03-21
1194297671 Silver Lining Treatment Center (dba) Recovery Blvd Clinic/Center 10209 Se Division St Bldg D, Portland, OR 97266-1372 2018-12-21
1316417397 Guardian Portland LLC Clinic/Center 17 Bishop St, Portland, ME 04103-2659 2018-12-03
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97266

Improve Information

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Dataset Information

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.

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