OrganizationActive
Clay Street Haven LLC
NPI 1235069030 · Mental Illness Community Based Residential Treatment Facility · Portland, OR
Provider details
- NPI number
- 1235069030
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Yosef Jember, Administrator(971) 349-7224
Specialties & taxonomies
Residential Treatment Facilities
Practice location
18139 Se Clay St
Portland, OR 97233-5168
Phone: (971) 349-7224
Approximate (ZIP-level) locationGet directions
Mailing address
18139 Se Clay St
Portland, OR 97233-5168
Registry dates
- Enumerated
- 2026-05-22
- Last updated
- 2026-05-22
- Certified
- 2026-05-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.