Organization Active NPI

Oregon Recovery Alliance LLC

  • Peer Specialist
  • Portland, OR
National Provider Identifier
1629958921
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Legal business name
OREGON RECOVERY ALLIANCE LLC
Practice address
2412 SE 106TH Ave
Portland, OR 97216-3059
Phone
(503) 990-4821
NPI assigned
Sep 5, 2025
Last updated
Sep 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Authorized official

Name
Jessica Kimberly Porte, CRMNPI 1255131009
Title
Owner
Phone
(503) 990-4821

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X NU Primary

Addresses

Primary practice location

2412 SE 106TH Ave
Portland, OR 97216-3059

Mailing address

2412 SE 106TH Ave
Portland, OR 97216-3059
Phone (503) 990-4821

Other identifiers 1

IdentifierTypeStateIssuer
245190194OtherOROREGONBUSINESSREGISTRY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1757030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757030400000",
    "number": "1629958921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 SE 106TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972163059",
            "telephone_number": "503-990-4821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 SE 106TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972163059",
            "telephone_number": "503-990-4821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON RECOVERY ALLIANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-05",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A",
        "authorized_official_last_name": "PORTE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-990-4821",
        "authorized_official_credential": "CRM"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGONBUSINESSREGISTRY",
            "identifier": "245190194",
            "state": "OR"
        }
    ],
    "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 Sep 5, 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.