SOBER LIVING OREGON RECOVERY CENTER NPI 1073081881

NPI Information

SOBER LIVING OREGON RECOVERY CENTER is a rehabilitation and substance use disorder clinic center in Portland, OR. SOBER LIVING OREGON RECOVERY CENTER NPI is 1073081881. The provider is registered as an organization entity type.

The provider's business location address is:

1122 NE 122ND AVE STE A200
PORTLAND, OR
ZIP 97230-083
Phone: (503) 954-1890

The provider's authorized official is Todd Flynn .
The authorized official title is Executive Director and has the following contact phone number (503) 332-4969.

The CLIA number assigned to this NPI record is 38D2157964 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/9/2018 and was last updated on 3/19/2021.

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:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.