Premiere Recovery Center LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

PREMIERE RECOVERY CENTER LLC

Doing business as

Premiere Recovery Center

Practice address

14935 SE 82ND Dr
Clackamas, OR 97015-9624

Phone

(503) 332-4969

NPI assigned

Jul 27, 2023

Last updated

Jun 10, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gerald Todd Flynn, MANPI 1366985707

Title

Executive Director

Phone

(503) 332-4969

Specialties & licenses 1

Addresses

Other names 1

• Premiere Recovery Center Doing business as

Locations

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.

• Gerald Todd Flynn, CADC II

  • Mental Health Counselor
  • Portland, OR
  • NPI 1366985707
  NPD Authorized official

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

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781049600000",
    "number": "1942981493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 NW 160TH AVE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970067640",
            "telephone_number": "503-332-4969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14935 SE 82ND DR",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970159624",
            "telephone_number": "503-332-4969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIERE RECOVERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-27",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A",
        "authorized_official_last_name": "FLYNN",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "503-332-4969",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premiere Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Powerfull Touch Body Work
• Lauren Alexis Prado
• Atanu Prasad, MD
• Allison Elizabeth Pratt, OTR/L
• Premere Rehab LLC
• Marisa Preston-Kuntz
• Clairisa A Prettyman, CMA
• Matthew Preuitt, LPC
• Gabriel Steven Prewitt, L.AC.
• Myles Prince, RN

• Substance Use Disorder Rehabilitation Clinic/Center in Clackamas, OR
• Providers in Clackamas, OR by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.