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

Gifted Soul Residential Home LLC

Organization Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1396604468

Gifted Soul Residential Home LLC is an Intellectual and/or Developmental Disabilities 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

1128 SE 141st Ave
Portland, OR 97233-2218
Phone: (503) 206-5980
Fax: (503) 447-4702
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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

Record details

NPI number1396604468
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Safawo Yadeto — Executive Director · (360) 990-5579
NPI enumeratedJanuary 15, 2026
Last updated in NPPESJanuary 15, 2026
Certification dateJanuary 15, 2026
Mailing address1128 Se 141st Ave, Portland, OR 97233-2218

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