NPI 1215856745

Divine Residential Treatment Home LLC

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

Practice location

Address: 8940 SE Clinton St, Portland, OR 97266-1436
Phone: (774) 386-4372

Authorised official

Name: Carolyn Njoki
Title: Director
Phone: (774) 386-4372

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

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Registry record

NPI: 1215856745
Entity type: Organization
NPI issued: 10 Jul 2026
Record last updated: 10 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.