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ELDERLY AND DISABLED SERVICES
NPI 1417764077
Community Based Residential Treatment Facility, Mental Illness in Beaverton, OR

Active since December 16, 2024
995 SW 178TH PL, BEAVERTON, OR 97003(458) 225-9358 Get Directions Write a Review

NPPES record last updated: February 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 19, 2025, Dec 16, 2024 (2 updates tracked since 2024).

About Elderly And Disabled Services NPPES

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

ELDERLY AND DISABLED SERVICES (NPI 1417764077), doing business as Restoration Home Willow Creek, is a healthcare organization registered as a community based residential treatment facility, mental illness in Beaverton, Oregon and active in the NPI registry since December 2024. The organization lists Larry Michael Mcphee, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1417764077
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameELDERLY AND DISABLED SERVICES
Location Address995 SW 178TH PLBeaverton, OR 97003-7504
Mailing Address3126 State St Ste 100Medford, OR 97504-8665 · (458) 225-9358
Phone(458) 225-9358
Organization SubpartYes
Authorized OfficialLarry Michael McpheeOwner/provider · (541) 261-1991
Enumeration DateDecember 16, 2024
Last NPPES UpdateFebruary 19, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2025
✔ NPI 1417764077 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.
995 SW 178TH PL, Beaverton, OR 97003
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Other Names 1

Doing Business AsRestoration Home Willow Creek

Other Providers at the Same Location NPPES

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

CHRISTOPHER GUZMAN
Case Manager/Care Coordinator
995 SW 178TH PL
BEAVERTON, OR 97003
Washington County (971) 317-2973

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 Elderly And Disabled Services's NPI number?

The NPI number for Elderly And Disabled Services is 1417764077. It was assigned to this organization in the NPPES registry on December 16, 2024. The provider is doing business as Restoration Home Willow Creek.

Where is Elderly And Disabled Services located?

Elderly And Disabled Services is located at 995 SW 178th Pl, Beaverton, OR 97003. The listed phone number is (458) 225-9358.

What is Elderly And Disabled Services'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 Elderly And Disabled Services was last updated on February 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.