OrganizationActive
Beachside Recovery Center LLC
NPI 1346791035 · Substance Abuse Rehabilitation Facility · Portland, OR
Provider details
- NPI number
- 1346791035
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Parent organization
- Beachside Recovery Center LLC
- Organization subpart
- Yes
- Authorized official
- Scott Wilson, Regional Program Director(949) 430-7824
Specialties & taxonomies
Residential Treatment Facilities
Practice location
7800 Sw Barbur Blvd
Portland, OR 97219-2823
Phone: (949) 430-7824
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 511330
Los Angeles, CA 90051-7885
Registry dates
- Enumerated
- 2016-10-18
- Last updated
- 2016-10-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.