NPI 1093647844

Northvale Behavioral Health LLC

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

Practice location

Address: 9015 SW 19th Ave, Portland, OR 97219-4122
Phone: (781) 309-8976

Authorised official

Name: Andrew Wakiria
Title: Director
Phone: (781) 309-8976

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

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Registry record

NPI: 1093647844
Entity type: Organization
NPI issued: 3 Jun 2026
Record last updated: 3 Jun 2026

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.