Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sam Recovery House LLC

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1407686512

Sam Recovery House LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Portland, Oregon. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

16132 NE Glisan St
Portland, OR 97230-5439
Phone: (971) 386-7444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X

Record details

NPI number1407686512
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fuad Mohamed — Ceo · (971) 386-7444
NPI enumeratedAugust 5, 2024
Last updated in NPPESAugust 5, 2024
Certification dateAugust 4, 2024
Mailing address16132 Ne Glisan St, Portland, OR 97230-5439

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