Masada 2 Corporation, Dba: Life Recovery Treatment Center

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

MASADA 2 CORPORATION, DBA: LIFE RECOVERY TREATMENT CENTER

Practice address

615 SW Broadway
Portland, OR 97205-3410

Phone

(971) 261-8518

NPI assigned

Sep 26, 2025

Organization subpart

No

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

Authorized official

Name

Gobena Seifu, EXECUTIVE DIRECTOR

Title

Director

Phone

(971) 261-8518

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1758844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759536000000",
    "number": "1366315228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8982 SE SCOTTSTREE WAY",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970158535",
            "telephone_number": "971-261-8518",
            "fax_number": "503-305-6268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 SW BROADWAY",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972053410",
            "telephone_number": "971-261-8518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASADA 2 CORPORATION, DBA: LIFE RECOVERY TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-26",
        "last_updated": "2025-10-04",
        "certification_date": "2025-10-04",
        "status": "A",
        "authorized_official_last_name": "SEIFU",
        "authorized_official_first_name": "GOBENA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "971-261-8518",
        "authorized_official_credential": "EXECUTIVE DIRECTOR"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryam M. Motlagh DMD PC (da Vinci Smiles)
• Emil Tristan Marz
• Russell Bennett Marz, ND, LAC
• Sarah J Marzolf, FNP
• Giovanni Alessandro Mas
• Jamal Masalmeh, O.D.
• Ranjan Charles Victor Mascarenhas, MD
• Monique Rueda Mascarinas, SLP
• Gianfranco Mascia Betancourt, LPC
• Alex Michael Mascioli

• Substance Abuse Rehabilitation Facility in Portland, OR
• Providers in Portland, 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 Oct 4, 2025; 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.