1. Home
  2. Directory
  3. Oregon
  4. Portland
  5. Community Based Residential Treatment Facility Mental Illness
  6. NPI Profile

FLORENCE MUTIE
NPI 1821491853
Community Based Residential Treatment Facility, Mental Illness in Portland, OR

Active since October 05, 2014
5123 SW 62ND AVE, PORTLAND, OR 97221(503) 453-2290 Get Directions Write a Review

NPPES record last updated: October 5, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Florence Mutie NPPES

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

FLORENCE MUTIE (NPI 1821491853) is an individual community based residential treatment facility, mental illness provider in Portland, Oregon and active in the NPI registry since October 2014.

NPPES Registry Identity

NPI1821491853
Entity TypeIndividualFemale
Primary Taxonomy320800000X
Provider Legal NameFLORENCE MUTIE
Location Address5123 SW 62ND AVEPortland, OR 97221-1170
Mailing Address5123 Sw 62nd AvePortland, OR 97221-1170
Phone(503) 453-2290
Sole ProprietorYes
Enumeration DateOctober 5, 2014
✔ NPI 1821491853 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.
5123 SW 62ND AVE, Portland, OR 97221
Open in Google Maps ↗

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 Florence Mutie's NPI number?

The NPI number for Florence Mutie is 1821491853. It was assigned to this individual provider in the NPPES registry on October 5, 2014.

Where is Florence Mutie located?

Florence Mutie practices at 5123 SW 62nd Ave, Portland, OR 97221. The listed phone number is (503) 453-2290.

What is Florence Mutie'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 Florence Mutie was last updated on October 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.