Sam Recovery House LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SAM RECOVERY HOUSE LLC

Practice address

16132 NE Glisan St
Portland, OR 97230-5439

Phone

(971) 386-7444

NPI assigned

Aug 5, 2024

Organization subpart

No

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

Authorized official

Name

Fuad Abdinor Mohamed, ETCNPI 1578360384

Title

Ceo

Phone

(971) 386-7444

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fuad Abdinor Mohamed, CADC-R

  • Addiction (Substance Use Disorder) Counselor
  • Portland, OR
  • NPI 1578360384
  NPD Authorized official

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

{
    "created_epoch": "1722816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1407686512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16132 NE GLISAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972305439",
            "telephone_number": "971-386-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16132 NE GLISAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972305439",
            "telephone_number": "971-386-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAM RECOVERY HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-05",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-04",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "FUAD",
        "authorized_official_middle_name": "ABDINOR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "971-386-7444",
        "authorized_official_credential": "ETC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manuela Salzgerber
• Ariel Zita Salzman, DPT
• Jay Salzman, PT
• Katharine Salzmann, LMT
• Sam El-Ebrashi, BDS, Ms, PC
• Allison Sam, DPT
• Bernadette E Sam
• Hala Samaan, MA, ATR-P
• Gunjeet K Samagh, MD
• Samantha Hynes LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Portland, OR
• Providers in Portland, OR by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.