Organization Active NPI

Portland Recovery Partners LLC

  • Substance Abuse Rehabilitation Facility
  • Portland, OR
National Provider Identifier
1578495347
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
PORTLAND RECOVERY PARTNERS LLC
Practice address
4200 NE 82ND Avenue
Portland, OR 97220
Phone
(310) 780-1667
NPI assigned
Jun 3, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Authorized official

Name
Mr. Jason H Landver
Title
Member
Phone
(310) 780-1667

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

4200 NE 82ND Avenue
Portland, OR 97220

Mailing address

5946 Kester Ave
Sherman Oaks, CA 91411-3015
Phone (310) 780-1667

National Provider Directory

National Provider Directory

Locations

5946 Kester Ave
Van Nuys, CA 91411

NPI Registry JSON

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

{
    "created_epoch": "1780444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780444800000",
    "number": "1578495347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5946 KESTER AVE",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914113015",
            "telephone_number": "310-780-1667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 NE 82ND AVENUE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97220",
            "telephone_number": "310-780-1667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTLAND RECOVERY PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-03",
        "last_updated": "2026-06-03",
        "certification_date": "2026-05-24",
        "status": "A",
        "authorized_official_last_name": "LANDVER",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "310-780-1667",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "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 3, 2026; 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.