Organization Active NPI

Esrom LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Portland, OR
National Provider Identifier
1114803384
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
ESROM LLC
Practice address
16833 NE Flanders St
Portland, OR 97230-6246
Phone
(503) 493-3198
NPI assigned
Aug 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Authorized official

Name
Rahel Haile
Title
Operator
Phone
(503) 493-3198

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

16833 NE Flanders St
Portland, OR 97230-6246

Mailing address

16833 NE Flanders St
Portland, OR 97230-6246

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1755043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755043200000",
    "number": "1114803384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16833 NE FLANDERS ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972306246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16833 NE FLANDERS ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972306246",
            "telephone_number": "503-493-3198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESROM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-13",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A",
        "authorized_official_last_name": "HAILE",
        "authorized_official_first_name": "RAHEL",
        "authorized_official_title_or_position": "OPERATOR",
        "authorized_official_telephone_number": "503-493-3198"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.