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

EXODUS LLC
NPI 1205753795
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Gresham, OR

Q: What is Exodus LLC's NPI number?

The NPI number for Exodus LLC is 1205753795. It was assigned to this organization in the NPPES registry on July 4, 2026.

Q: What is Exodus LLC's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

Q: When was this NPI record last updated?

The NPPES record for Exodus LLC was last updated on July 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 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.

Active since July 04, 2026

21321 SE ALDER ST, GRESHAM, OR 97030(708) 632-3841(708) 632-3841 Get Directions Write a Review

NPPES record added: July 4, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Exodus Llc NPPES

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

EXODUS LLC (NPI 1205753795) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Gresham, Oregon and active in the NPI registry since July 2026. The organization lists Bereket Woticha, Director, as its authorized official.

NPPES Registry Identity

NPI1205753795

Entity TypeOrganization

Primary Taxonomy320600000X

Legal Business NameEXODUS LLC

Location Address21321 SE ALDER STGresham, OR 97030-2419

Mailing Address21321 Se Alder StGresham, OR 97030-2419

Phone(708) 632-3841

Fax(708) 632-3841

Organization SubpartNo

Authorized OfficialBereket WotichaDirector · (708) 632-3841

Enumeration DateJuly 4, 2026

NPPES CertifiedJuly 4, 2026

✔ NPI 1205753795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320600000X

Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

Also ListedCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320900000X

21321 SE ALDER ST, Gresham, OR 97030

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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 Exodus LLC's NPI number?

The NPI number for Exodus LLC is 1205753795. It was assigned to this organization in the NPPES registry on July 4, 2026.

Where is Exodus LLC located?

Exodus LLC is located at 21321 SE Alder St, Gresham, OR 97030. The listed phone number is (708) 632-3841.

What is Exodus LLC's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Exodus LLC was last updated on July 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 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.