Active NPI
Haven Center LLC
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Beaverton, OR
National Provider Identifier
1831044155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Legal business name
- HAVEN CENTER LLC
- Practice address
- 4345 SW 109TH Ave
Beaverton, OR 97005-3026 - Phone
- (503) 267-8012
- NPI assigned
- Mar 2, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julieta Sicat
- Title
- President
- Phone
- (503) 267-8012
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Primary |
Addresses
Primary practice location
4345 SW 109TH Ave
Beaverton, OR 97005-3026
Mailing address
PO Box 230102
Tigard, OR 97281-0102
Phone (503) 267-8012
Other names 1
- Haven Center of Oregon
National Provider Directory
National Provider DirectoryLocations
4345 SW 109th Ave
Beaverton, OR 97005
Phone (503) 267-8012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772409600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772409600000",
"number": "1831044155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 230102",
"city": "TIGARD",
"state": "OR",
"postal_code": "972810102",
"telephone_number": "503-267-8012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4345 SW 109TH AVE",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970053026",
"telephone_number": "503-267-8012"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAVEN CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-02",
"last_updated": "2026-03-02",
"certification_date": "2026-03-02",
"status": "A",
"authorized_official_last_name": "SICAT",
"authorized_official_first_name": "JULIETA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "503-267-8012"
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Haven Center of Oregon",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.