Organization · Type 2 NPI

Emerald Residential LLC

Mental Illness Community Based Residential Treatment Facility · Portland, OR

NPI number 1437025384 Active

Practice location

11940 SE Bush St
Portland, OR 97266-2140

Call (615) 423-8136 Map

Specialties and licenses

TaxonomyCodeLicense
Physical Disabilities Residential Treatment Facility 320700000XNone listed
Mental Illness Community Based Residential Treatment Facility Primary 320800000XNone 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 1437025384

Emerald Residential LLC's National Provider Identifier is 1437025384, issued on Oct 16, 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 Oct 16, 2025.