Pleasant Valley RTH LLC

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

PLEASANT VALLEY RTH LLC

Practice address

1875 SW Eastwood Ave
Gresham, OR 97080-9784

Phone

(253) 753-3515

NPI assigned

May 21, 2025

Organization subpart

No

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

Authorized official

Name

John Kangu

Title

Excecutive Director

Phone

(253) 753-3515

Specialties & licenses 1

Addresses

Other names 1

• PLEASANT VALLEY RTH LLC Doing business as

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

{
    "created_epoch": "1747785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748563200000",
    "number": "1740072081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2722 NE 122ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972301603",
            "telephone_number": "253-753-3515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 SW EASTWOOD AVE",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970809784",
            "telephone_number": "253-753-3515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANT VALLEY RTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-21",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A",
        "authorized_official_last_name": "KANGU",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "EXCECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "253-753-3515"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PLEASANT VALLEY RTH LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Isaiah Pitre, CSWA
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• Lesley Yadira Plata Valenzuela, MSW
• Craig Plummer, PT
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• Paul Podett, M.D.
• Joshua Lewis Poitra, CRM/PSS
• Shawna Pool, LMT

• Psychiatric Residential Treatment Facility in Gresham, OR
• Providers in Gresham, OR by specialty
• Psychiatric Residential Treatment Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.