DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: HOPE CENTER RECOVERY LLC

MEDICARE: HOPE CENTER RECOVERY LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0850XAdult Mental Health Clinic/Center

General Provider Information

NPI Number : 1316721418
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOPE CENTER RECOVERY LLC
Provider Business Mailing Address
First Line : 6828 SE HOLGATE BLVD
Second Line :
City : PORTLAND
State : OR
Zip : 97206-3504
Country : US
Telephone Number : 503-332-4969
Fax Number :
Provider Business Practice Location Address
First Line : 6828 SE HOLGATE BLVD
Second Line :
City : PORTLAND
State : OR
Zip : 97206-3504
Country : US
Telephone Number : 503-332-4969
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : GERALD TODD FLYNN
Credential : CADC II
Telephone Number : 503-332-4969
Provider Enumeration Date : 08/21/2023
Last Update Date : 08/21/2023

Similar Medicare Providers

1982556262 — JACOB ALLEN GOIN
Practice Location Address:
6828 SE HOLGATE BLVD
PORTLAND, OR
97206-3504
Practice Phone: 503-795-3987
Practice Fax: 503-908-3998
1871255000 — ERNIE MARTINEZ-TORRECILLAS
Practice Location Address:
6828 SE HOLGATE BLVD
PORTLAND, OR
97206-3504
Practice Phone: 503-374-2200
Practice Fax:
1508633306 — JESSICA LYN MCCURDY CRM
Practice Location Address:
6828 SE HOLGATE BLVD
PORTLAND, OR
97206-3504
Practice Phone: 503-332-4969
Practice Fax:
1144097932 — DANIEL ORTMAN
Practice Location Address:
6828 SE HOLGATE BLVD
PORTLAND, OR
97206-3504
Practice Phone: 503-593-8404
Practice Fax:
1649048448 — BRANDON KEITH LANE
Practice Location Address:
6828 SE HOLGATE BLVD
PORTLAND, OR
97206-3504
Practice Phone: 503-332-4969
Practice Fax:
1548038359 — ALEXA LEE FAITH PAGE 23-CRM-2592
Practice Location Address:
6828 SE HOLGATE BLVD
PORTLAND, OR
97206-3504
Practice Phone: 503-332-4969
Practice Fax:

Directions to “HOPE CENTER RECOVERY LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.