Organization Active NPI

Silver Lining Treatment Center (Dba) Recovery Blvd

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Portland, OR
National Provider Identifier
1194297671
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
SILVER LINING TREATMENT CENTER (DBA) RECOVERY BLVD
Practice address
10209 SE Division St BLDG D
Portland, OR 97266-1372
Phone
(503) 875-2787
NPI assigned
Dec 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Autumn M Brown, MS, CADCIII
Title
Owner
Phone
(503) 875-2787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

10209 SE Division St BLDG D
Portland, OR 97266-1372

Mailing address

1316 SE 12TH Ave
Portland, OR 97214-3604
Phone (503) 875-2787

National Provider Directory

National Provider Directory

Locations

1316 SE 12th Ave
Portland, OR 97214
Phone (503) 897-1916

10209 SE Division St
Bldg D
Portland, OR 97266
Phone (503) 716-0481

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1545350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1194297671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 SE 12TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972143604",
            "telephone_number": "503-875-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10209 SE DIVISION ST BLDG D",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972661372",
            "telephone_number": "503-875-2787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER LINING TREATMENT CENTER (DBA) RECOVERY BLVD",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-21",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "AUTUMN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-875-2787",
        "authorized_official_credential": "MS, CADCIII"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.