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SAM RECOVERY HOUSE LLC
NPI 1407686512
Clinic/Center - Mental Health (Including Community Mental Health Center) in Portland, OR

Active since August 05, 2024
16132 NE GLISAN ST, PORTLAND, OR 97230(971) 386-7444 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sam Recovery House Llc NPPES

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

SAM RECOVERY HOUSE LLC (NPI 1407686512) is a healthcare organization registered as a mental health (including community mental health center) in Portland, Oregon and active in the NPI registry since August 2024. The organization lists Fuad Abdinor Mohamed, Ceo, as its authorized official.

NPPES Registry Identity

NPI1407686512
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameSAM RECOVERY HOUSE LLC
Location Address16132 NE GLISAN STPortland, OR 97230-5439
Mailing Address16132 Ne Glisan StPortland, OR 97230-5439 · (971) 386-7444
Phone(971) 386-7444
Organization SubpartNo
Authorized OfficialFuad Abdinor MohamedCeo · (971) 386-7444
Enumeration DateAugust 5, 2024
NPPES CertifiedAugust 4, 2024
✔ NPI 1407686512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
16132 NE GLISAN ST, Portland, OR 97230
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Other Providers at the Same Location NPPES

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

FUAD ABDINOR MOHAMED CADC-R
Counselor (Addiction (Substance Use Disorder))
16132 NE GLISAN ST
PORTLAND, OR 97230
Multnomah County (971) 386-4444

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 Sam Recovery House LLC's NPI number?

The NPI number for Sam Recovery House LLC is 1407686512. It was assigned to this organization in the NPPES registry on August 5, 2024.

Where is Sam Recovery House LLC located?

Sam Recovery House LLC is located at 16132 NE Glisan St, Portland, OR 97230. The listed phone number is (971) 386-7444.

What is Sam Recovery House LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Sam Recovery House LLC was last updated on August 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.