Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

NW RRESIDENTIAL SUPPORT LLC
NPI 1063325900
Community Based Residential Treatment Facility, Mental Illness in Portland, OR

Q: What is NW Rresidential Support LLC's NPI number?

The NPI number for NW Rresidential Support LLC is 1063325900. It was assigned to this organization in the NPPES registry on September 23, 2026.

Q: What is NW Rresidential Support LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

Active since September 23, 2026

13719 SE CLINTON CT, PORTLAND, OR 97236(503) 826-6790 Get Directions Write a Review

NPPES record added: September 23, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About Nw Rresidential Support Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NW RRESIDENTIAL SUPPORT LLC (NPI 1063325900) is a healthcare organization registered as a community based residential treatment facility, mental illness in Portland, Oregon and active in the NPI registry since September 2026. The organization lists Wariso Abdi Buta, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1063325900

Entity TypeOrganization

Primary Taxonomy320800000X

Legal Business NameNW RRESIDENTIAL SUPPORT LLC

Location Address13719 SE CLINTON CTPortland, OR 97236-2859

Mailing Address13719 Se Clinton CtPortland, OR 97236-2859 · (503) 826-6790

Phone(503) 826-6790

Organization SubpartNo

Authorized OfficialWariso Abdi ButaOwner/ceo · (503) 826-6790

Enumeration DateSeptember 23, 2026

NPPES CertifiedSeptember 23, 2026

✔ NPI 1063325900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities

Taxonomy Code320800000X

Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

13719 SE CLINTON CT, Portland, OR 97236

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is NW Rresidential Support LLC's NPI number?

The NPI number for NW Rresidential Support LLC is 1063325900. It was assigned to this organization in the NPPES registry on September 23, 2026.

Where is NW Rresidential Support LLC located?

NW Rresidential Support LLC is located at 13719 SE Clinton Ct, Portland, OR 97236. The listed phone number is (503) 826-6790.

What is NW Rresidential Support LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for NW Rresidential Support LLC was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.