205 Yacob Rth, LLC
Community Based Residential Treatment Facility, Mental Illness in Portland, Oregon
1659282853- Practice location
- 9350 SE Taylor St, Portland, OR 97216-2126
- Phone
- 503-830-7800
- Fax
- —
- Last updated
- September 15, 2026
205 Yacob Rth, LLC is a healthcare organization based in Portland, OR. The NPI number for 205 Yacob Rth, LLC is 1659282853. The current practice location address is 9350 SE Taylor St, Portland, OR 97216-2126 and the office can be reached by phone at 503-830-7800. The NPI was assigned on September 15, 2026 and the record was last updated in NPPES on September 15, 2026.
●Provider Profile Details
- NPI Number
- 1659282853
- Provider Name
- 205 Yacob Rth, LLC
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Community Based Residential Treatment Facility, Mental Illness · 320800000X
- Organization Subpart
- No
- Authorized Official
- Agernesh N Bogale · Owner · 503-830-7800
- Enumeration Date
- September 15, 2026
- Last Update Date
- September 15, 2026
- Certification Date
- September 15, 2026
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 9350 SE Taylor St
Portland, OR 97216-2126 - City
- Portland
- State
- Oregon
- ZIP
- 97216-2126
- Country
- US
- Phone Number
- 503-830-7800
✉Business Mailing Address
- Address
- 9350 SE Taylor St
Portland, OR 97216-2126 - City
- Portland
- State
- OR
- ZIP
- 97216-2126
- Phone Number
- 503-296-2905
✎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.
☉Other providers near Portland, OR
View all providers in Portland →?Frequently Asked Questions
What is the NPI number of 205 Yacob Rth, LLC?
The NPI number of 205 Yacob Rth, LLC is 1659282853. It was assigned on September 15, 2026 and is currently active in the NPPES registry.
What is the specialty of 205 Yacob Rth, LLC?
205 Yacob Rth, LLC is registered under the primary taxonomy Community Based Residential Treatment Facility, Mental Illness (code 320800000X).
Where does 205 Yacob Rth, LLC practice?
The practice location is 9350 SE Taylor St, Portland, OR 97216-2126. The office can be reached at 503-830-7800 (phone).
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 1659282853 directly on the NPPES registry website at npiregistry.cms.hhs.gov.