Organization
SOBER LIVING OREGON RECOVERY CENTER
Active
Organization
SOBER LIVING OREGON RECOVERY CENTER
Active
Other names
Spark Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
SERENNA LYNN MACLACHLAN QMHP CADC III (CHIEF EXECUTIVE OFFICER)
(916) 860-9900
Entity
Organization
Contact information
Practice address
1010 5TH ST, OREGON CITY, OR 97045-2444
(503) 954-1890
(971) 888-4607
Mailing address
1010 5TH ST, OREGON CITY, OR 97045-2444
(503) 954-1890
(971) 888-4607
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
11/09/2018
Last updated
01/21/2026
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