OrganizationActive
Baymax LLC
NPI 1699647933 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Portland, OR
Provider details
- NPI number
- 1699647933
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Ayantus Tollosa, Owner(240) 470-2210
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
2819 Ne 155th Ave
Portland, OR 97230-4492
Phone: (240) 470-2210
Approximate (ZIP-level) locationGet directions
Mailing address
2819 Ne 155th Ave
Portland, OR 97230-4492
Additional practice locations (1)
- 16841 Se Davidoff WayDamascus, OR 97089-5801Phone: (240) 470-2210
Registry dates
- Enumerated
- 2025-09-18
- Last updated
- 2025-09-23
- Certified
- 2025-09-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.