Individual provider · Type 1 NPI
Deana Yakymchuk
Mental Illness Community Based Residential Treatment Facility · Portland, OR
NPI number
1144182098
Active
Practice location
5039 SE Briar Ct
Portland, OR 97267-5974
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foster Care Agency | 253J00000X | None listed |
| In Home Supportive Care Agency | 253Z00000X | None listed |
| Assisted Living Facility | 310400000X | None listed |
| Assisted Living Facility (Mental Illness) | 3104A0625X | None listed |
| Adult Care Home Facility | 311ZA0620X | None listed |
| Psychiatric Residential Treatment Facility | 323P00000X | None listed |
| 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.
Another provider at this address
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About NPI 1144182098
Deana Yakymchuk's National Provider Identifier is 1144182098, issued on Dec 1, 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 Dec 1, 2025.