ALEKSANDR BAHMATOV NPI 1366277642

NPI Information

  • NPI: 1366277642
  • Provider Name: ALEKSANDR BAHMATOV
  • Classification: Custodial Care Facility - 311ZA0620X
  • Specialization: Adult Care Home
  • Entity Type: Individual
  • Address: 17821 SE ARISTA DR
    MILWAUKIE, OR
    ZIP 97267
  • Phone: (971) 386-8671

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NPI Details

Aleksandr Bahmatov is an adult care home custodial care facility in Milwaukie, OR. The provider is 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. Aleksandr Bahmatov NPI is 1366277642. The provider is registered as an individual entity type.

The provider's business location address is:

17821 SE ARISTA DR
MILWAUKIE, OR
ZIP 97267-036
Phone: (971) 386-8671

The enumeration date for this NPI number is 9/5/2024 and was last updated on 9/5/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1253J00000XFoster Care AgencyNo
23104A0625XAssisted Living FacilityAssisted Living, Mental IllnessNo
3320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
4320800000XCommunity Based Residential Treatment Facility, Mental IllnessNo
5311ZA0620XCustodial Care FacilityAdult Care HomeOREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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