Organization Active NPI

Dynamic Core Care LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Aloha, OR
National Provider Identifier
1619808870
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
DYNAMIC CORE CARE LLC
Practice address
4560 SW 198TH Ave
Aloha, OR 97078-2337
Phone
(503) 268-1326
Fax
(503) 268-1341
NPI assigned
May 27, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Authorized official

Name
Teresia W. Mwangi
Title
Licensee
Phone
(774) 502-1828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

4560 SW 198TH Ave
Aloha, OR 97078-2337

Mailing address

4560 SW 198TH Ave
Aloha, OR 97078-2337
Phone (503) 268-1326

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1779840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779840000000",
    "number": "1619808870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4560 SW 198TH AVE",
            "city": "ALOHA",
            "state": "OR",
            "postal_code": "970782337",
            "telephone_number": "503-268-1326",
            "fax_number": "503-268-1341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4560 SW 198TH AVE",
            "city": "ALOHA",
            "state": "OR",
            "postal_code": "970782337",
            "telephone_number": "503-268-1326",
            "fax_number": "503-268-1341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC CORE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-27",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A",
        "authorized_official_last_name": "MWANGI",
        "authorized_official_first_name": "TERESIA",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "774-502-1828"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aloha, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.