Organization Active NPI

Haven Center LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Beaverton, OR
National Provider Identifier
1831044155
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
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

Updated by the provider on Mar 2, 2026

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.