Organization
SOBER LIVING OREGON TREATMENT CENTER
Active
Organization
SOBER LIVING OREGON TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD TODD FLYNN MA (CLINICAL DIRECTOR)
(503) 897-1916
Entity
Organization
Contact information
Practice address
10209 SE DIVISION, PORTLAND, OR 97266
(503) 701-8397
Mailing address
10209 SE DIVISION ST BLDG D, PORTLAND, OR 97266-1372
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
OR
Other
Enumeration date
02/08/2018
Last updated
02/08/2018
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