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Organization

OREGON RECOVERY ALLIANCE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JESSICA KIMBERLY PORTE CRM (OWNER)
(503) 990-4821
Entity
Organization

Contact information

Practice address
2412 SE 106TH AVE, PORTLAND, OR 97216-3059
(503) 990-4821
Mailing address
2412 SE 106TH AVE, PORTLAND, OR 97216-3059
(503) 990-4821

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
245190194
OREGONBUSINESSREGISTRY
OR
Enumeration date
09/05/2025
Last updated
09/05/2025
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