Organization
PREMIERE RECOVERY CENTER LLC
Active
Organization
PREMIERE RECOVERY CENTER LLC
Active
Other names
Premiere Recovery Center
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD TODD FLYNN MA (EXECUTIVE DIRECTOR)
(503) 332-4969
Entity
Organization
Contact information
Practice address
14935 SE 82ND DR, CLACKAMAS, OR 97015-9624
(503) 332-4969
Mailing address
2080 NW 160TH AVE, BEAVERTON, OR 97006-7640
(503) 332-4969
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
07/27/2023
Last updated
06/10/2026
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