Whalio Doctors

NPI 1336026269

Golden Springs Residencial Treatment Home LLC

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

Practice location

Address
80 NW Sleret Ave, Gresham, OR 97030-7030
Phone
(206) 227-5993

Authorised official

Name
Samuel K Kamuga
Title
Owner/Provider
Phone
(206) 227-5993

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320900000X

Registry record

NPI
1336026269
Entity type
Organization
NPI issued
20 Aug 2025
Record last updated
20 Aug 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.