OrganizationActive
Kiddos Aba Or LLC
NPI 1285597195 · Community/Behavioral Health Agency · Portland, OR
Kiddos Aba Or LLC is a Community/Behavioral Health Agency organization in Portland, OR (NPI 1285597195).
Provider details
- NPI number
- 1285597195
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Etty Grossman, Coo(848) 224-3500
Specialties & taxonomies
Agencies
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
15405 Sw 116th Ave Ste 111
Portland, OR 97224-4103
Phone: (732) 604-7520
Street-level locationGet directions
Mailing address
1005 Broadway
Woodmere, NY 11598-1227
Registry dates
- Enumerated
- 2025-12-08
- Last updated
- 2025-12-08
- Certified
- 2025-12-07
Frequently asked questions
- What is Kiddos Aba Or LLC's NPI number?
- Kiddos Aba Or LLC's National Provider Identifier (NPI) is 1285597195, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kiddos Aba Or LLC?
- Kiddos Aba Or LLC is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Kiddos Aba Or LLC located?
- Kiddos Aba Or LLC's practice location on file with NPPES is 15405 Sw 116th Ave Ste 111, Portland, OR 97224-4103.
- What is Kiddos Aba Or LLC's phone number?
- The practice phone number listed in the NPPES registry for Kiddos Aba Or LLC is (732) 604-7520.
- Who is the authorized official for Kiddos Aba Or LLC?
- The authorized official listed on Kiddos Aba Or LLC's NPPES record is Etty Grossman, Coo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kiddos Aba Or LLC's NPI active?
- Yes — Kiddos Aba Or LLC's NPI (1285597195) is active in the NPPES registry as of the last update on 2025-12-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.