Oak Haven Residential Inc
Organization Active NPI Mental Illness Community Based Residential Treatment Facility · Fairview, OR
NPI 1801710090 · NPPES record last updated Aug 10, 2026
Key facts
- NPI
- 1801710090
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Illness Community Based Residential Treatment Facility 320800000X
- Legal business name
- OAK HAVEN RESIDENTIAL INC
- Practice address
- 138 Bridge St
Fairview, OR 97024-2666 - Phone
- (404) 988-2651
- NPI assigned
- Aug 10, 2026
- Organization subpart
- No
Authorized official
- Name
- Mr. Nasser J Ali
- Title
- Owner
- Phone
- (404) 988-2651
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Yes |
Addresses
Primary practice location
138 Bridge St
Fairview, OR 97024-2666
Mailing address
138 Bridge St
Fairview, OR 97024-2666
Phone (404) 988-2651
Other providers in Fairview, OR
- Susan Mihm
- Annabelle Miller
- Nicholas Scott Monte
- Caitlin Morris
- Daniela Viorica Muresan
- Guy Arthur Olson
- Aishah Omotosho
- Oregon CVS Pharmacy LLC
- Portland Vamc
- Premise Health of Oregon Medical PC
All providers in Fairview, OR · Mental Illness Community Based Residential Treatment Facility in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.