Sunnybrook - Addiction Medicine

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

SUNNYBROOK - ADDICTION MEDICINE

Practice address

10180 SE Sunnyside Rd
Clackamas, OR 97015-8970

Phone

(503) 571-0880

NPI assigned

Feb 23, 2009

Organization subpart

No

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

Authorized official

Name

Valeree Kim Stewart, CNA

Title

Cna

Phone

(503) 957-1906

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1235347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235347200000",
    "number": "1265672893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3216 SE 84TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972662010",
            "telephone_number": "503-957-1906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10180 SE SUNNYSIDE RD",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970158970",
            "telephone_number": "503-571-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNYBROOK - ADDICTION MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-23",
        "last_updated": "2009-02-23",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "VALEREE",
        "authorized_official_middle_name": "KIM",
        "authorized_official_title_or_position": "CNA",
        "authorized_official_telephone_number": "503-957-1906",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy C Suess, DDS
• Alyssa Brianna Sullivan
• Brett Michael Sullivan, D.M.D., M.D.
• Paul Sundstrom, ED.D.
• Sunny View Optometry LLC
• Sunnyside Dentistry for Children, P.C.
• Sunnyside Family Dentistry LLC
• Sunnyside Hood Residencial Treatment Home LLC
• Mark F Surbaugh, M.D.
• Susan Buhler

• Substance Abuse Rehabilitation Facility in Clackamas, OR
• Providers in Clackamas, OR by specialty
• Substance Abuse Rehabilitation Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; 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.