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

NW RRESIDENTIAL SUPPORT LLC
NPI 1215841358
Community Based Residential Treatment Facility, Mental Illness in Portland, OR

Active since September 28, 2026
13719 SE CLINTON CT, PORTLAND, OR 97236(503) 826-6790 Get Directions Write a Review

NPPES record added: September 28, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Nw Rresidential Support Llc NPPES

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

NW RRESIDENTIAL SUPPORT LLC (NPI 1215841358) 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

NPI1215841358
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
Organization SubpartNo
Authorized OfficialWariso Abdi ButaOwner/ceo · (503) 826-6790
Enumeration DateSeptember 28, 2026
NPPES CertifiedSeptember 23, 2026
✔ NPI 1215841358 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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community Based Residential Treatment Facility, Mental Illness
13719 SE CLINTON CT
PORTLAND, OR 97236

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 1215841358. It was assigned to this organization in the NPPES registry on September 28, 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 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.