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EVERGREEN RECOVERY CENTER
NPI 1336009141
Community Based Residential Treatment Facility, Mental Illness in Portland, OR

Active since November 13, 2025
5441 S MACADAM AVE STE R, PORTLAND, OR 97239(207) 331-0435 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Evergreen Recovery Center NPPES

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

EVERGREEN RECOVERY CENTER (NPI 1336009141) is a healthcare organization registered as a community based residential treatment facility, mental illness in Portland, Oregon and active in the NPI registry since November 2025. The organization lists Luc Hirwa, Managing Director, as its authorized official.

NPPES Registry Identity

NPI1336009141
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameEVERGREEN RECOVERY CENTER
Location Address5441 S MACADAM AVE STE RPortland, OR 97239-3822
Mailing Address5441 S Macadam Ave Ste RPortland, OR 97239-3822 · (207) 331-0435
Phone(207) 331-0435
Organization SubpartNo
Authorized OfficialLuc HirwaManaging Director · (207) 331-0435
Enumeration DateNovember 13, 2025
NPPES CertifiedNovember 11, 2025
✔ NPI 1336009141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
5441 S MACADAM AVE STE R, Portland, OR 97239
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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.

SCOUT BROWN
Counselor (Mental Health)
5441 S MACADAM AVE STE R
PORTLAND, OR 97239
Multnomah County (503) 482-8116
JENNIFER KREBSBACH RN
Registered Nurse (Psychiatric/Mental Health)
5441 S MACADAM AVE STE R
PORTLAND, OR 97239
Multnomah County (507) 222-3848
GRETA JACQUELINE CYNAMON ZIOLKOWSKI
Nurse Practitioner (Psychiatric/Mental Health)
5441 S MACADAM AVE STE R
PORTLAND, OR 97239
Multnomah County (949) 616-5717
TO BE WELL PSYCHIATRY LLC
Nurse Practitioner (Psychiatric/Mental Health)
5441 S MACADAM AVE STE R
PORTLAND, OR 97239
Multnomah County (541) 422-6622
HASAN B EL-TAYYEB RMHCI
Counselor (Mental Health)
5441 S MACADAM AVE STE R
PORTLAND, OR 97239
Multnomah County (682) 970-0290
MRS. VALENTINA ALEKSANDROVNA PISHCHANSKAYA-CAYANAN
Marriage & Family Therapist
5441 S MACADAM AVE STE R
PORTLAND, OR 97239
Multnomah County (503) 908-9951
SO EMO COUNSELING
Clinic/Center (Adult Mental Health)
5441 S MACADAM AVE STE R
PORTLAND, OR 97239
Multnomah County (323) 893-9353
MRS. ALYSSA PATAKI LMFT
Counselor (Mental Health)
5441 S MACADAM AVE STE R
PORTLAND, OR 97239
Multnomah County (909) 367-5928

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 Evergreen Recovery Center's NPI number?

The NPI number for Evergreen Recovery Center is 1336009141. It was assigned to this organization in the NPPES registry on November 13, 2025.

Where is Evergreen Recovery Center located?

Evergreen Recovery Center is located at 5441 S Macadam Ave Ste R, Portland, OR 97239. The listed phone number is (207) 331-0435.

What is Evergreen Recovery Center's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Evergreen Recovery Center was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.