Organization Active NPI

Outlook Residential

  • Adult Mental Health Clinic/Center
  • Milwaukie, OR
National Provider Identifier
1225900277
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
OUTLOOK RESIDENTIAL
Practice address
3252 SE Olsen St
Milwaukie, OR 97222-5733
Phone
(425) 524-2492
NPI assigned
Sep 19, 2025
Last updated
Sep 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Fayisa Bonkiye
Title
Director
Phone
(425) 479-7609

Specialties & licenses 1

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

Addresses

Primary practice location

3252 SE Olsen St
Milwaukie, OR 97222-5733

Mailing address

3252 SE Olsen St
Milwaukie, OR 97222-5733
Phone (425) 479-7609

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1758240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1225900277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3252 SE OLSEN ST",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972225733",
            "telephone_number": "425-479-7609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3252 SE OLSEN ST",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972225733",
            "telephone_number": "425-524-2492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTLOOK RESIDENTIAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-19",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "BONKIYE",
        "authorized_official_first_name": "FAYISA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "425-479-7609"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukie, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.