Access Residential Care
Community Based Residential Treatment Facility, Mental Illness in Portland, Oregon
1265340350- Practice location
- 12505 SE Ellis St, Portland, OR 97236-4211
- Phone
- 716-431-0767
- Fax
- 716-431-0767
- Last updated
- August 31, 2026
Access Residential Care is a healthcare organization based in Portland, OR. The NPI number for Access Residential Care is 1265340350. The current practice location address is 12505 SE Ellis St, Portland, OR 97236-4211 and the office can be reached by phone at 716-431-0767 and by fax at 716-431-0767. The NPI was assigned on August 31, 2026 and the record was last updated in NPPES on August 31, 2026.
●Provider Profile Details
- NPI Number
- 1265340350
- Provider Name
- Access Residential Care
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Community Based Residential Treatment Facility, Mental Illness · 320800000X
- Organization Subpart
- No
- Authorized Official
- Tsion Habte · Owner · 716-431-0767
- Enumeration Date
- August 31, 2026
- Last Update Date
- August 31, 2026
- Certification Date
- August 30, 2026
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 12505 SE Ellis St
Portland, OR 97236-4211 - City
- Portland
- State
- Oregon
- ZIP
- 97236-4211
- Country
- US
- Phone Number
- 716-431-0767
- Fax Number
- 716-431-0767
✉Business Mailing Address
- Address
- 12505 SE Ellis St
Portland, OR 97236-4211 - City
- Portland
- State
- OR
- ZIP
- 97236-4211
- Phone Number
- 716-431-0767
- Fax Number
- 716-431-0767
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Community Based Residential Treatment Facility, Mental Illness | 320800000X | Yes | — | — |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Portland →?Frequently Asked Questions
What is the NPI number of Access Residential Care?
The NPI number of Access Residential Care is 1265340350. It was assigned on August 31, 2026 and is currently active in the NPPES registry.
What is the specialty of Access Residential Care?
Access Residential Care is registered under the primary taxonomy Community Based Residential Treatment Facility, Mental Illness (code 320800000X).
Where does Access Residential Care practice?
The practice location is 12505 SE Ellis St, Portland, OR 97236-4211. The office can be reached at 716-431-0767 (phone) or 716-431-0767 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1265340350 directly on the NPPES registry website at npiregistry.cms.hhs.gov.