NPI 1023828944

Core Care Residential Solutions LLC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Portland, OR

Practice location

Address: 9310 SE Duke St, Portland, OR 97266-5259
Phone: (458) 262-4514

Authorised official

Name: Wilson Paul Kisambira
Title: Manager
Phone: (781) 309-8976

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

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Registry record

NPI: 1023828944
Entity type: Organization
NPI issued: 13 Jan 2025
Record last updated: 7 Jul 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.