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

HAVEN GRACE
NPI 1720990740
Community Based Residential Treatment Facility, Mental Illness in Clackamas, OR

Active since September 22, 2026
13480 SE 132ND AVE, CLACKAMAS, OR 97015(574) 551-5277 Get Directions Write a Review

NPPES record added: September 22, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Haven Grace NPPES

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

HAVEN GRACE (NPI 1720990740) is a healthcare organization registered as a community based residential treatment facility, mental illness in Clackamas, Oregon and active in the NPI registry since September 2026. The organization lists Timothy Allen Smith, Provider, as its authorized official.

NPPES Registry Identity

NPI1720990740
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameHAVEN GRACE
Location Address13480 SE 132ND AVEClackamas, OR 97015-9338
Mailing Address10399 Se Crescent Ridge DrHappy Valley, OR 97086-9100 · (574) 551-5277
Phone(574) 551-5277
Organization SubpartNo
Authorized OfficialTimothy Allen SmithProvider · (574) 551-5277
Enumeration DateSeptember 22, 2026
NPPES CertifiedSeptember 22, 2026
✔ NPI 1720990740 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.
13480 SE 132ND AVE, Clackamas, OR 97015
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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 Haven Grace's NPI number?

The NPI number for Haven Grace is 1720990740. It was assigned to this organization in the NPPES registry on September 22, 2026.

Where is Haven Grace located?

Haven Grace is located at 13480 SE 132nd Ave, Clackamas, OR 97015. The listed phone number is (574) 551-5277.

What is Haven Grace'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 Haven Grace was last updated on September 22, 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.