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

James M Henneman

Individual provider Mental Illness Community Based Residential Treatment Facility · NPI 1851226526

James M Henneman is a Mental Illness Community Based Residential Treatment Facility in Beaverton, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2026

Practice location Address checks out

19600 SW Stacey St
Beaverton, OR 97003-2520
Phone: (503) 649-6287
Fax: (503) 591-7489
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 · Licence 100085 (OR)

Record details

NPI number1851226526
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 15, 2026
Last updated in NPPESJune 15, 2026
Certification dateJune 15, 2026
Mailing address19600 Sw Stacey St, Beaverton, OR 97003-2520

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