Individual provider · Type 1 NPI
James M. Henneman
Adult Care Home Facility · Beaverton, OR
NPI number
1851226526
Active
Practice location
19600 SW Stacey St
Beaverton, OR 97003-2520
Fax (503) 591-7489
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | 100085 (OR) |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Other adult care home facility providers in Beaverton
About NPI 1851226526
James M. Henneman's National Provider Identifier is 1851226526, issued on Jun 15, 2026. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Beaverton, OR. The record was last updated on Oct 20, 2026.