STULTS HOUSE
NPI 1780043802
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Portland, OR

Active since February 17, 2016CLIA 38D2094896 · Waiver
805 SE 151ST AVE, PORTLAND, OR 97233(971) 271-7270 Get Directions Write a Review

NPPES record last updated: February 17, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stults House NPPES

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

STULTS HOUSE (NPI 1780043802) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Portland, Oregon and active in the NPI registry since February 2016. The organization holds a CLIA Waiver certificate valid through April 26, 2027 and lists Amy Lugo, Hr Coordinator, as its authorized official.

NPPES Registry Identity

NPI1780043802
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameSTULTS HOUSE
Location Address805 SE 151ST AVEPortland, OR 97233-2916
Mailing Address805 Se 151st AvePortland, OR 97233-2916 · (971) 271-7270
Organization SubpartYesParent: Telecare Mental Health Services
Authorized OfficialAmy LugoHr Coordinator · (503) 666-6575
Enumeration DateFebruary 17, 2016
NPI 1780043802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
805 SE 151ST AVE, Portland, OR 97233

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D2094896

Stults House Oregon (rth) · Portland, OR
Active · expires Apr 26, 2027
CLIA Number38D2094896
Laboratory TypeCounsellor
Certificate Effective DateApril 27, 2025
Certificate Expiration DateApril 26, 2027
Laboratory DirectorJamie Deruyter Lpc
Laboratory Phone(971) 271-7270
Laboratory LocationStults House Oregon (rth)805 SE 151 St, Portland, OR 97233
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

Peer Specialist
805 SE 151ST AVE
PORTLAND, OR 97233
Case Manager/Care Coordinator
805 SE 151ST AVE
PORTLAND, OR 97233
Case Manager/Care Coordinator
805 SE 151ST AVE
PORTLAND, OR 97233
Peer Specialist
805 SE 151ST AVE
PORTLAND, OR 97233
Counselor (Mental Health)
805 SE 151ST AVE
PORTLAND, OR 97233
Counselor (Mental Health)
805 SE 151ST AVE
PORTLAND, OR 97233
Peer Specialist
805 SE 151ST AVE
PORTLAND, OR 97233
Community Based Residential Treatment Facility, Mental Illness
805 SE 151ST AVE
PORTLAND, OR 97233

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 Stults House's NPI number?

The NPI number for Stults House is 1780043802. It was assigned to this organization in the NPPES registry on February 17, 2016.

Where is Stults House located?

Stults House is located at 805 SE 151st Ave, Portland, OR 97233. The listed phone number is (971) 271-7270.

What is Stults House's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

Does Stults House hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2094896) is associated with this NPI, valid through April 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Stults House was last updated on February 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.