INCREDIBLE RESIDENTIAL SERVICES LLC is an adult mental health clinic center in Portland, OR. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. INCREDIBLE RESIDENTIAL SERVICES LLC NPI is 1558233148. The provider is registered as an organization entity type.
The provider's business location address is:
2246 SE 90TH AVE PORTLAND, OR ZIP 97216-021 Phone: (702) 491-3964 Fax: (503) 894-8787
The provider's authorized official is Gemechu Jorjore . The authorized official title is Director and has the following contact phone number (702) 491-3964.
The enumeration date for this NPI number is 9/22/2025 and was last updated on 10/2/2025.
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:
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
NPI Synchronization or Removal
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