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SUMMIT RECOVERY CENTER
NPI 1023980539
Substance Abuse Rehabilitation Facility in Portland, OR

Active since September 23, 2025CLIA 38D2340457 · Waiver
6828 SE HOLGATE BLVD, PORTLAND, OR 97206(503) 841-1127 Get Directions Write a Review

NPPES record last updated: September 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Summit Recovery Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUMMIT RECOVERY CENTER (NPI 1023980539) is a healthcare organization registered as a substance abuse rehabilitation facility in Portland, Oregon and active in the NPI registry since September 2025. The organization holds a CLIA Waiver certificate valid through March 16, 2028 and lists Brenda Dawn Vest, Program Administrator, as its authorized official.

NPPES Registry Identity

NPI1023980539
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameSUMMIT RECOVERY CENTER
Location Address6828 SE HOLGATE BLVDPortland, OR 97206-3504
Mailing Address6828 Se Holgate BlvdPortland, OR 97206-3504 · (503) 841-1127
Phone(503) 841-1127
Organization SubpartNo
Authorized OfficialBrenda Dawn VestProgram Administrator · (971) 710-5408
Enumeration DateSeptember 23, 2025
NPPES CertifiedSeptember 23, 2025
✔ NPI 1023980539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
6828 SE HOLGATE BLVD, Portland, OR 97206
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D2340457

Summit Recovery, LLC · Portland, OR
Active · expires Mar 16, 2028
CLIA Number38D2340457
Laboratory TypeDetox/Resdiential Sud Tre
Certificate Effective DateMarch 17, 2026
Certificate Expiration DateMarch 16, 2028
Laboratory DirectorSimona Muntyan
Laboratory Phone(503) 795-3986
Laboratory LocationSummit Recovery, LLC6828 SE Holgate Boulevard, Portland, OR 97206
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALANA FLYNN CRM
Peer Specialist
6828 SE HOLGATE BLVD
PORTLAND, OR 97206
Multnomah County (503) 795-3987
KATHLEEN MICHELE CHIRGWIN CRM
Peer Specialist
6828 SE HOLGATE BLVD
PORTLAND, OR 97206
Multnomah County (503) 795-3987
BRIAN WALKER
Counselor (Addiction (Substance Use Disorder))
6828 SE HOLGATE BLVD
PORTLAND, OR 97206
Multnomah County (971) 803-8290
GARRETT AUSTIN SMITH CRM
Peer Specialist
6828 SE HOLGATE BLVD
PORTLAND, OR 97206
Multnomah County (503) 805-7268
DANIEL ORTMAN
Counselor (Addiction (Substance Use Disorder))
6828 SE HOLGATE BLVD
PORTLAND, OR 97206
Multnomah County (503) 593-8404
TRACY BENJAMIN NELSON CRM
Peer Specialist
6828 SE HOLGATE BLVD
PORTLAND, OR 97206
Multnomah County (503) 795-3987
SABRINA MARIE SWANK CRM
Peer Specialist
6828 SE HOLGATE BLVD
PORTLAND, OR 97206
Multnomah County (503) 795-3987
ALYSSA ASHLEY SCHWEIZER-KAYS CRM
Peer Specialist
6828 SE HOLGATE BLVD
PORTLAND, OR 97206
Multnomah County (503) 795-3987

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Summit Recovery Center's NPI number?

The NPI number for Summit Recovery Center is 1023980539. It was assigned to this organization in the NPPES registry on September 23, 2025.

Where is Summit Recovery Center located?

Summit Recovery Center is located at 6828 SE Holgate Blvd, Portland, OR 97206. The listed phone number is (503) 841-1127.

What is Summit Recovery Center's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Summit Recovery Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2340457) is associated with this NPI, valid through March 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Summit Recovery Center was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.