Organization Active NPI

New Life RTF LLC

  • Adult Mental Health Clinic/Center
  • Albany, OR
National Provider Identifier
1124900733
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
NEW LIFE RTF LLC
Practice address
1340 NW Shady LN
Albany, OR 97321-1738
Phone
(503) 454-8173
Fax
(541) 704-0336
NPI assigned
Jul 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Authorized official

Name
Itoro Etuks
Title
Ceo
Phone
(541) 704-0286

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

1340 NW Shady LN
Albany, OR 97321-1738

Mailing address

1340 NW Shady LN
Albany, OR 97321-1738
Phone (503) 454-8173

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1753315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753315200000",
    "number": "1124900733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 NW SHADY LN",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973211738",
            "telephone_number": "503-454-8173",
            "fax_number": "541-704-0336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 NW SHADY LN",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973211738",
            "telephone_number": "503-454-8173",
            "fax_number": "541-704-0336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE RTF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-24",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-23",
        "status": "A",
        "authorized_official_last_name": "ETUKS",
        "authorized_official_first_name": "ITORO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "541-704-0286"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.