Clay Street Haven LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

CLAY STREET HAVEN LLC

Practice address

18139 SE Clay St
Portland, OR 97233-5168

Phone

(971) 349-7224

NPI assigned

May 22, 2026

Organization subpart

No

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

Authorized official

Name

Yosef Jember

Title

Administrator

Phone

(971) 349-7224

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1779408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779408000000",
    "number": "1235069030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18139 SE CLAY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972335168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18139 SE CLAY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972335168",
            "telephone_number": "971-349-7224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAY STREET HAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-22",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A",
        "authorized_official_last_name": "JEMBER",
        "authorized_official_first_name": "YOSEF",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "971-349-7224"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chris W Clawson
• Ellie Kimie Clawson
• Haley Clawson, PA-C
• Sarah Clawson, LMT
• Jamie Sarah Claxton
• Alexander Benjamin Clay
• Christina Carmela Clay, CPM, LDM
• David M Clay, MD
• Dianne Clay
• Hillary Joy Clay

• Mental Illness Community Based Residential Treatment Facility in Portland, OR
• Providers in Portland, OR by specialty
• Mental Illness Community Based Residential Treatment Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; 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.