Healthcare Provider Details

I. General information

NPI: 1053215152
Provider Name (Legal Business Name): ASPIRE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15535 SE FLAVEL CT
PORTLAND OR
97236-7912
US

IV. Provider business mailing address

15535 SE FLAVEL CT
PORTLAND OR
97236-7912
US

V. Phone/Fax

Practice location:
  • Phone: 971-271-3951
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number StateNULL

VIII. Authorized Official

Name: AYMEN ABUBEKER
Title or Position: DIRECTOR
Credential:
Phone: 971-271-3951