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SOBER LIVING OREGON RECOVERY CENTER
NPI 1073081881
Clinic/Center - Rehabilitation, Substance Use Disorder in Oregon City, OR

Active since November 09, 2018CLIA 38D2157964 · Waiver
1010 5TH ST, OREGON CITY, OR 97045(503) 954-1890(971) 888-4607 Get Directions Write a Review

NPPES record last updated: January 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 21, 2026, Jun 23, 2025, Mar 19, 2021 and 1 more (4 updates tracked since 2018).

About Sober Living Oregon Recovery Center NPPES

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

SOBER LIVING OREGON RECOVERY CENTER (NPI 1073081881), doing business as Spark Wellness, is a healthcare organization registered as a rehabilitation, substance use disorder in Oregon City, Oregon and active in the NPI registry since November 2018. The organization holds a CLIA Waiver certificate valid through November 15, 2026, maintains a secondary practice location in Portland, and lists Serenna Lynn Maclachlan, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1073081881
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameSOBER LIVING OREGON RECOVERY CENTER
Location Address1010 5TH STOregon City, OR 97045-2444
Mailing Address1010 5th StOregon City, OR 97045-2444 · (503) 954-1890 · Fax (971) 888-4607
Phone(503) 954-1890
Fax(971) 888-4607
Organization SubpartNo
Authorized OfficialSerenna Lynn MaclachlanChief Executive Officer · (916) 860-9900
Enumeration DateNovember 9, 2018
Last NPPES UpdateJanuary 21, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2026
✔ NPI 1073081881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedClinic/CenterTaxonomy 261Q00000X
1010 5TH ST, Oregon City, OR 97045
Open in Google Maps ↗

Other Names 1

Doing Business AsSpark Wellness

Secondary Practice Location 1

Location 11122 NE 122nd Ave Ste A200Portland, OR 97230-2083 · Phone (503) 954-1890

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

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 38D2157964

Sober Living Oregon Recovery Center LLC Dba Spark Wellness Oregon City · Oregon City, OR
Active · expires Nov 15, 2026
CLIA Number38D2157964
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateNovember 16, 2024
Certificate Expiration DateNovember 15, 2026
Laboratory DirectorTanis Hayden
Laboratory Phone(503) 954-1890
Laboratory LocationSober Living Oregon Recovery Center LLC Dba Spark Wellness Oregon City1010 5th St, Oregon City, OR 97045
CLIA data matches this NPI record on: Address Name Phone
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.

PATRICK EATON
Peer Specialist
1010 5TH ST
OREGON CITY, OR 97045
Clackamas County (503) 594-4750
MISS DANA ELIZABETH FEARS LPC
Counselor (Addiction (Substance Use Disorder))
1010 5TH ST
OREGON CITY, OR 97045
Clackamas County (503) 594-4750
DANIEL WILLIAM THAXTON CRM
Counselor
1010 5TH ST
OREGON CITY, OR 97045
Clackamas County (503) 594-4750
CORY MACLEOD
Counselor (Addiction (Substance Use Disorder))
1010 5TH ST
OREGON CITY, OR 97045
Clackamas County (503) 594-4750
KIERSTEN ANN CARROLL AA, BA
Counselor (Mental Health)
1010 5TH ST
OREGON CITY, OR 97045
Clackamas County (541) 968-3069
JENNIFER GIFFORD
Student in an Organized Health Care Education/Training Program
1010 5TH ST
OREGON CITY, OR 97045
Clackamas County (503) 594-4750
NEAL CHAIM TOBAR-DUPRES CRM
Peer Specialist
1010 5TH ST
OREGON CITY, OR 97045
Clackamas County (503) 594-4750
LACINA LUCERO CRM
Peer Specialist
1010 5TH ST
OREGON CITY, OR 97045
Clackamas County (503) 954-1890

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 Sober Living Oregon Recovery Center's NPI number?

The NPI number for Sober Living Oregon Recovery Center is 1073081881. It was assigned to this organization in the NPPES registry on November 9, 2018. The provider is doing business as Spark Wellness.

Where is Sober Living Oregon Recovery Center located?

Sober Living Oregon Recovery Center is located at 1010 5th St, Oregon City, OR 97045. The listed phone number is (503) 954-1890.

What is Sober Living Oregon Recovery Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Does Sober Living Oregon Recovery Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2157964) is associated with this NPI, valid through November 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Sober Living Oregon Recovery Center accept?

Health plans from Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Sober Living Oregon Recovery Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sober Living Oregon Recovery Center was last updated on January 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.