Gifted Soul Residential Home LLC.

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

GIFTED SOUL RESIDENTIAL HOME LLC.

Practice address

1128 SE 141St Ave
Portland, OR 97233-2218

Phone

(503) 206-5980

Fax

(503) 447-4702

NPI assigned

Jan 15, 2026

Organization subpart

No

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

Authorized official

Name

Safawo Yadeto

Title

Executive Director

Phone

(360) 990-5579

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1768435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768435200000",
    "number": "1396604468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1128 SE 141ST AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972332218",
            "telephone_number": "503-206-5980",
            "fax_number": "503-447-4702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1128 SE 141ST AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972332218",
            "telephone_number": "503-206-5980",
            "fax_number": "503-447-4702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIFTED SOUL RESIDENTIAL HOME LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-15",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A",
        "authorized_official_last_name": "YADETO",
        "authorized_official_first_name": "SAFAWO",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "360-990-5579"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Renae Giese, LCSW
• Ladawna Gievers, M.D.
• Todd A Gifford, D.M.D.
• Gift of Life Clinic
• Gifted Behavioral Health
• Hannah E Giger, DO
• Paul T Giger, MD
• Kelsey Giggenbach, OTD, OTR/L
• James Giggy, CADC1, CRM, QMHA-R
• Josiah Alfred Gikungi, MD

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Portland, OR
• Providers in Portland, OR by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.