Fairview Healing Home LLC
Organization Active NPI Mental Illness Community Based Residential Treatment Facility · Fairview, OR
NPI 1124948450 · NPPES record last updated Jul 17, 2026
Key facts
- NPI
- 1124948450
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Illness Community Based Residential Treatment Facility 320800000X
- Legal business name
- FAIRVIEW HEALING HOME LLC
- Practice address
- 20209 NE San Rafael St
Fairview, OR 97024-9682 - Phone
- (971) 361-1987
- NPI assigned
- Jul 17, 2026
- Organization subpart
- No
Authorized official
- Name
- Roger Uwimana
- Title
- Member
- Phone
- (971) 361-1987
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Yes |
Addresses
Primary practice location
20209 NE San Rafael St
Fairview, OR 97024-9682
Mailing address
20209 NE San Rafael St
Fairview, OR 97024-9682
Phone (971) 361-1987
Other providers in Fairview, OR
- Jeffrey Dversdal
- Catherine Dynes
- Chad Emmanuel Eaddy
- Ebenezer LLC
- Leanne Ensey
- Fairview Orthodontics LLC
- Heather M Fink
- Jazmin Severina Flores
- Melissa Fox
- Julia Rose Gertsen
All providers in Fairview, OR · Mental Illness Community Based Residential Treatment Facility in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.