Milwaukie Residential Care LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MILWAUKIE RESIDENTIAL CARE LLC

Practice address

14012 SE Rusk Rd
Milwaukie, OR 97222-3221

Phone

(971) 506-1015

NPI assigned

Sep 22, 2026

Last updated

Sep 22, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yonas Buraka, MSW

Title

Administrator

Phone

(971) 506-1015

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1790035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790035200000",
    "number": "1124930334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14012 SE RUSK RD",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972223221",
            "telephone_number": "971-506-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14012 SE RUSK RD",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972223221",
            "telephone_number": "971-506-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILWAUKIE RESIDENTIAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-22",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A",
        "authorized_official_last_name": "BURAKA",
        "authorized_official_first_name": "YONAS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "971-506-1015",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.