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

Incredible Residential Services LLC

Organization Adult Mental Health Clinic/Center · NPI 1558233148

Incredible Residential Services LLC is an Adult Mental Health Clinic/Center in Portland, Oregon. Registered with an NPI since 2025.

In the registry since
2025
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

2246 SE 90th Ave
Portland, OR 97216-2021
Phone: (702) 491-3964
Fax: (503) 894-8787
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Mental Health Clinic/Center (primary) Taxonomy 261QM0850X

Record details

NPI number1558233148
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gemechu Jorjore — Director · (702) 491-3964
NPI enumeratedSeptember 22, 2025
Last updated in NPPESOctober 2, 2025
Certification dateOctober 2, 2025
Mailing address2246 Se 90th Ave, Portland, OR 97216-2021

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