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

Exodus LLC

Organization Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1205753795

Exodus LLC is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Gresham, Oregon. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
2
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

21321 SE Alder St
Gresham, OR 97030-2419
Phone: (708) 632-3841
Fax: (708) 632-3841
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) Taxonomy 320600000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Taxonomy 320900000X

Record details

NPI number1205753795
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bereket Woticha — Director · (708) 632-3841
NPI enumeratedJuly 4, 2026
Last updated in NPPESJuly 4, 2026
Certification dateJuly 4, 2026
Mailing address21321 Se Alder St, Gresham, OR 97030-2419

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