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

205 YACOB RTH, LLC
NPI 1659282853
Community Based Residential Treatment Facility, Mental Illness in Portland, OR

Q: What is 205 Yacob Rth, LLC's NPI number?

The NPI number for 205 Yacob Rth, LLC is 1659282853. It was assigned to this organization in the NPPES registry on September 15, 2026.

Q: What is 205 Yacob Rth, LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

Active since September 15, 2026

9350 SE TAYLOR ST, PORTLAND, OR 97216(503) 830-7800 Get Directions Write a Review

NPPES record added: September 15, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

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About 205 Yacob Rth, Llc NPPES

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

205 YACOB RTH, LLC (NPI 1659282853) 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 Agernesh N Bogale, Owner, as its authorized official.

NPPES Registry Identity

NPI1659282853

Entity TypeOrganization

Primary Taxonomy320800000X

Legal Business Name205 YACOB RTH, LLC

Location Address9350 SE TAYLOR STPortland, OR 97216-2126

Mailing Address9350 Se Taylor StPortland, OR 97216-2126 · (503) 296-2905

Phone(503) 830-7800

Organization SubpartNo

Authorized OfficialAgernesh N BogaleOwner · (503) 830-7800

Enumeration DateSeptember 15, 2026

NPPES CertifiedSeptember 15, 2026

✔ NPI 1659282853 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.

9350 SE TAYLOR ST, 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 205 Yacob Rth, LLC's NPI number?

The NPI number for 205 Yacob Rth, LLC is 1659282853. It was assigned to this organization in the NPPES registry on September 15, 2026.

Where is 205 Yacob Rth, LLC located?

205 Yacob Rth, LLC is located at 9350 SE Taylor St, Portland, OR 97216. The listed phone number is (503) 830-7800.

What is 205 Yacob Rth, 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 205 Yacob Rth, LLC was last updated on September 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 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.