Sober Living Oregon Treatment Center

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

SOBER LIVING OREGON TREATMENT CENTER

Practice address

10209 SE Division
Portland, OR 97266

Phone

(503) 701-8397

NPI assigned

Feb 8, 2018

Last updated

Feb 8, 2018By 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

Clinical Director

Phone

(503) 897-1916

Specialties & licenses 1

Addresses

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
  Authorized official Same address or phone

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

{
    "created_epoch": "1518048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518048000000",
    "number": "1992204697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10209 SE DIVISION ST BLDG D",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972661372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10209 SE DIVISION",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97266",
            "telephone_number": "503-701-8397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOBER LIVING OREGON TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-08",
        "last_updated": "2018-02-08",
        "status": "A",
        "authorized_official_last_name": "FLYNN",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "503-897-1916",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soaring Health and Wellness
• Ashley Kay Sobchuk, AU.D
• Rachel Allison Sobczak, PT, DPT
• Joni Carole Sobel, LCSW
• Michelle Sobel
• Mara Sobesky
• Leah Sobieck
• Salomeya Sobko
• Robbin Sobotka-Soles, BCABA
• Heidi Sue Sobotka, MS SLP

• Substance Use Disorder Rehabilitation Clinic/Center in Portland, OR
• Providers in Portland, 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 Feb 8, 2018; 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.