OrganizationActive
Victory Life
NPI 1679366694 · Mental Illness Community Based Residential Treatment Facility · Beaverton, OR
Provider details
- NPI number
- 1679366694
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Aman Kahsai, Executive Director(707) 477-6293
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES 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
16332 Sw Estuary Dr Apt 205
Beaverton, OR 97006-7941
Phone: (707) 477-6293
Street-level locationGet directions
Mailing address
16332 Sw Estuary Dr Apt 205
Beaverton, OR 97006-7941
Registry dates
- Enumerated
- 2025-05-23
- Last updated
- 2025-05-23
- Certified
- 2025-05-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.