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INCREDIBLE RESIDENTIAL SERVICES LLC
NPI 1558233148
Clinic/Center - Adult Mental Health in Portland, OR

Active since September 22, 2025
2246 SE 90TH AVE, PORTLAND, OR 97216(702) 491-3964(503) 894-8787 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Incredible Residential Services Llc NPPES

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

INCREDIBLE RESIDENTIAL SERVICES LLC (NPI 1558233148) is a healthcare organization registered as an adult mental health in Portland, Oregon and active in the NPI registry since September 2025. The organization lists Gemechu Jorjore, Director, as its authorized official.

NPPES Registry Identity

NPI1558233148
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameINCREDIBLE RESIDENTIAL SERVICES LLC
Location Address2246 SE 90TH AVEPortland, OR 97216-2021
Mailing Address2246 Se 90th AvePortland, OR 97216-2021 · (702) 491-3964 · Fax (503) 894-8787
Phone(702) 491-3964
Fax(503) 894-8787
Organization SubpartNo
Authorized OfficialGemechu JorjoreDirector · (702) 491-3964
Enumeration DateSeptember 22, 2025
Last NPPES UpdateOctober 2, 2025
NPPES CertifiedOctober 2, 2025
✔ NPI 1558233148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
2246 SE 90TH AVE, Portland, OR 97216
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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 Incredible Residential Services LLC's NPI number?

The NPI number for Incredible Residential Services LLC is 1558233148. It was assigned to this organization in the NPPES registry on September 22, 2025.

Where is Incredible Residential Services LLC located?

Incredible Residential Services LLC is located at 2246 SE 90th Ave, Portland, OR 97216. The listed phone number is (702) 491-3964.

What is Incredible Residential Services LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Incredible Residential Services LLC was last updated on October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.