Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Clay Street Haven LLC

Organization Mental Illness Community Based Residential Treatment Facility · NPI 1235069030

Clay Street Haven LLC is a Mental Illness Community Based Residential Treatment Facility in Portland, Oregon. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

18139 SE Clay St
Portland, OR 97233-5168
Phone: (971) 349-7224
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Illness Community Based Residential Treatment Facility (primary) Taxonomy 320800000X

Record details

NPI number1235069030
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yosef Jember — Administrator · (971) 349-7224
NPI enumeratedMay 22, 2026
Last updated in NPPESMay 22, 2026
Certification dateMay 22, 2026
Mailing address18139 Se Clay St, Portland, OR 97233-5168

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