NPI 1205753795
Exodus LLC
Practice location
- Address
- 21321 SE Alder St, Gresham, OR 97030-2419
- Phone
- (708) 632-3841
- Fax
- (708) 632-3841
Authorised official
- Name
- Bereket Woticha
- Title
- Director
- Phone
- (708) 632-3841
Registered specialties (2)
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Registry record
- NPI
- 1205753795
- Entity type
- Organization
- NPI issued
- 4 Jul 2026
- Record last updated
- 4 Jul 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.