IndividualActive
Deana Yakymchuk
NPI 1144182098 · Mental Illness Community Based Residential Treatment Facility · Portland, OR
Provider details
- NPI number
- 1144182098
- Entity type
- Individual
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Residential Treatment Facilities
- Foster Care Agency253J00000X
Agencies
- In Home Supportive Care Agency253Z00000X
Agencies
- Assisted Living Facility310400000X
Nursing & Custodial Care Facilities
Nursing & Custodial Care Facilities
- Adult Care Home Facility311ZA0620X
Nursing & Custodial Care Facilities
Practice location
5039 Se Briar Ct
Portland, OR 97267-5974
Phone: (360) 325-5523
Approximate (ZIP-level) locationGet directions
Mailing address
5039 Se Briar Ct
Portland, OR 97267-5974
Registry dates
- Enumerated
- 2025-12-01
- Last updated
- 2025-12-01
- Certified
- 2025-11-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.