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

XODUS
NPI 1215851530
Community Based Residential Treatment Facility, Mental Illness in Portland, OR

Active since August 07, 2026
11309 SE BROOKSIDE DR, PORTLAND, OR 97266(503) 851-3136 Get Directions Write a Review

NPPES record added: August 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Xodus NPPES

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

XODUS (NPI 1215851530) is a healthcare organization registered as a community based residential treatment facility, mental illness in Portland, Oregon and active in the NPI registry since August 2026. The organization lists Sisay Lolamo, Program Administrator, as its authorized official.

NPPES Registry Identity

NPI1215851530
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameXODUS
Location Address11309 SE BROOKSIDE DRPortland, OR 97266-4955
Mailing Address11309 Se Brookside DrPortland, OR 97266-4955 · (503) 851-3136
Phone(503) 851-3136
Organization SubpartNo
Authorized OfficialSisay LolamoProgram Administrator · (503) 851-3136
Enumeration DateAugust 7, 2026
NPPES CertifiedAugust 7, 2026
✔ NPI 1215851530 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.
11309 SE BROOKSIDE DR, Portland, OR 97266
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Other Providers at the Same Location NPPES

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

ALARO LLC
Adult Companion
11309 SE BROOKSIDE DR
PORTLAND, OR 97266
Multnomah County (503) 851-3136

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 Xodus's NPI number?

The NPI number for Xodus is 1215851530. It was assigned to this organization in the NPPES registry on August 7, 2026.

Where is Xodus located?

Xodus is located at 11309 SE Brookside Dr, Portland, OR 97266. The listed phone number is (503) 851-3136.

What is Xodus'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 Xodus was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.