Organization · Type 2 NPI

Divine Residential Treatment Home LLC

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Portland, OR

NPI number 1215856745 Active

Practice location

8940 SE Clinton St
Portland, OR 97266-1436

Call (774) 386-4372 Map

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XNone listed

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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About NPI 1215856745

Divine Residential Treatment Home LLC's National Provider Identifier is 1215856745, issued on Jul 10, 2026. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Portland, OR. The record was last updated on Jul 10, 2026.