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72ND AVE RECOVERY CENTER
NPI 1659453686
Community Based Residential Treatment Facility, Mental Illness in Portland, OR

Active since October 19, 2006
7759 SE 72ND AVE, PORTLAND, OR 97206(503) 788-4500(503) 788-4506 Get Directions Write a Review

NPPES record last updated: May 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 17, 2023, Aug 22, 2020 (2 updates tracked since 2020).

About 72nd Ave Recovery Center NPPES

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

72ND AVE RECOVERY CENTER (NPI 1659453686) is a healthcare organization registered as a community based residential treatment facility, mental illness in Portland, Oregon and active in the NPI registry since October 2006. The organization lists Lorena Lopez, Provider Relations Supervisor, as its authorized official.

NPPES Registry Identity

NPI1659453686
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameTELECARE MENTAL HEALTH SERVICES OF OREGON, INC
Location Address7759 SE 72ND AVEPortland, OR 97206-7921
Mailing Address1080 Marina Village Pkwy Ste 100Alameda, CA 94501-1078 · (510) 337-7950 · Fax (510) 337-7969
Phone(503) 788-4500
Fax(503) 788-4506
Organization SubpartNo
Authorized OfficialLorena LopezProvider Relations Supervisor · (510) 337-7950
Enumeration DateOctober 19, 2006
Last NPPES UpdateMay 17, 20232 updates tracked since enumeration
NPPES CertifiedMay 17, 2023
✔ NPI 1659453686 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.
7759 SE 72ND AVE, Portland, OR 97206
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Other Names 1

Doing Business As72nd Ave Recovery Center

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.

PA EDDI CAMARA
Case Manager/Care Coordinator
7759 SE 72ND AVE
PORTLAND, OR 97206
Multnomah County (503) 788-4500
KATHERINE ANN HURLBUT RN
Registered Nurse
7759 SE 72ND AVE
PORTLAND, OR 97206
Multnomah County (503) 788-4500
STEPHANIE CARSON
Counselor (Mental Health)
7759 SE 72ND AVE
PORTLAND, OR 97206
Multnomah County (503) 788-5400
GERMAN PEREZ HERNANDEZ
Counselor (Mental Health)
7759 SE 72ND AVE
PORTLAND, OR 97206
Multnomah County (503) 267-3879
ALYSEN RAYNE OHRMUND
Clinic/Center (Adult Mental Health)
7759 SE 72ND AVE
PORTLAND, OR 97206
Multnomah County (503) 788-4500
CHRISTINA L PONCE RN,MT
Registered Nurse
7759 SE 72ND AVE
PORTLAND, OR 97206
Multnomah County (503) 788-4500
SILVIA ISABEL CHAVEZ HERNANDEZ
Counselor (Mental Health)
7759 SE 72ND AVE
PORTLAND, OR 97206
Multnomah County (503) 788-4500
MRS. MARY LEE CONROY
Specialist
7759 SE 72ND AVE
PORTLAND, OR 97206
Multnomah County (503) 788-4500

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 Telecare Mental Health Services Of Oregon, Inc's NPI number?

The NPI number for Telecare Mental Health Services Of Oregon, Inc is 1659453686. It was assigned to this organization in the NPPES registry on October 19, 2006. The provider is doing business as 72nd Ave Recovery Center.

Where is Telecare Mental Health Services Of Oregon, Inc located?

Telecare Mental Health Services Of Oregon, Inc is located at 7759 SE 72nd Ave, Portland, OR 97206. The listed phone number is (503) 788-4500.

What is Telecare Mental Health Services Of Oregon, Inc'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 Telecare Mental Health Services Of Oregon, Inc was last updated on May 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.