Organization · Type 2 NPI
Healthcare Llc.
Mental Illness Community Based Residential Treatment Facility · Portland, OR
NPI number
1023801768
Active
Practice location
459 SE 192nd Ave Apt 502
Portland, OR 97233-5997
Fax (971) 429-9813
Other practice locations
- 8105 SE 89th Ave # 502, Portland, OR 97266-6507 · (971) 429-9813
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | None listed |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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About NPI 1023801768
Healthcare Llc.'s National Provider Identifier is 1023801768, issued on May 26, 2025. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Portland, OR. The record was last updated on May 31, 2025.