Haven Grace

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

HAVEN GRACE

Practice address

13480 SE 132ND Ave
Clackamas, OR 97015-9338

Phone

(574) 551-5277

NPI assigned

Sep 22, 2026

Last updated

Sep 22, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Timothy Allen Smith

Title

Provider

Phone

(574) 551-5277

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1790035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790035200000",
    "number": "1720990740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10399 SE CRESCENT RIDGE DR",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970869100",
            "telephone_number": "574-551-5277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13480 SE 132ND AVE",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970159338",
            "telephone_number": "574-551-5277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN GRACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-22",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "574-551-5277"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret C Hartmann
• Mark Alan Harvey, MD
• Jason Naoki Hashima, M.D., M.P.H.
• Ryan Hassan, M.D.
• Danielle Marie Hastings, PNP-CP
• Kerri K Hay-Monsalve
• Mason Carl Haycock, CCP
• Corinna Hayes, MA
• Michael Jeffrey Hayes, M.D.
• Aaliyah Haynes

• Mental Illness Community Based Residential Treatment Facility in Clackamas, OR
• Providers in Clackamas, 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 Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.