Life Restoration Missions

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

LIFE RESTORATION MISSIONS

Practice address

6111 SW Lesser Way
Portland, OR 97219-7040

Phone

(503) 500-7744

NPI assigned

Oct 16, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Julius Maximo

Title

Admin

Phone

(617) 202-8004

Specialties & licenses 2

Addresses

Other names 1

• Restorative Journey Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1729036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771372800000",
    "number": "1114747763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6111 SW LESSER WAY",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972197040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6111 SW LESSER WAY",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972197040",
            "telephone_number": "503-500-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE RESTORATION MISSIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-16",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A",
        "authorized_official_last_name": "MAXIMO",
        "authorized_official_first_name": "JULIUS",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "617-202-8004"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restorative Journey",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Psychiatric/Mental Health Nurse Practitioner in Portland, OR
• Providers in Portland, OR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.