Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARTIN MBUTHIA KIMITA
Active Sole ProprietorPsychiatric Residential Treatment Facility · PORTLAND, OR
Registration Details
- NPI Number
- 1588483168
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 9, 2024 (1.5341651468031 yrs)
- Last Updated
- Oct 9, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
14512 SE FOSTER RDPORTLAND, OR, 972364324Browse OR providers · Browse ZIP 97236
- Phone
- 7815341079
- Primary Specialty
-
Psychiatric Residential Treatment Facility
323P00000X
Other Psychiatric Residential Treatment Facility Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| MR. CHASE STEVEN HARDT | — | 1588132401 |
| PIPER MICHELLE TOWNSEND | — | 1720953516 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.