NPI 1174487813

Dave 24hr Residential LLC

Organisation Adult Care Home Facility Portland, OR

Practice location

Address: 11863 E Burnside St, Portland, OR 97216-3731
Phone: (971) 393-6460

Authorised official

Name: Dawit Berisso
Title: Executive Director
Phone: (971) 393-6460

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

Other Custodial Care Facility providers in Oregon →

Registry record

NPI: 1174487813
Entity type: Organization
NPI issued: 15 Dec 2025
Record last updated: 15 Dec 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.