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

Xodus

Organization Mental Illness Community Based Residential Treatment Facility · NPI 1215851530

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

In the registry since
2026

Practice location Address checks out

11309 SE Brookside Dr
Portland, OR 97266-4955
Phone: (503) 851-3136
Show map & directions

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 number1215851530
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sisay Lolamo — Program Administrator · (503) 851-3136
NPI enumeratedAugust 7, 2026
Last updated in NPPESAugust 7, 2026
Certification dateAugust 7, 2026
Mailing address11309 Se Brookside Dr, Portland, OR 97266-4955

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