Organization Active NPI

Olive Branch Residential Treatment Home

  • Mental Illness Community Based Residential Treatment Facility
  • Portland, OR
National Provider Identifier
1851200554
Registry record updated Sep 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
OLIVE BRANCH RESIDENTIAL TREATMENT HOME
Practice address
2817 SE 151St Ave
Portland, OR 97236-2325
Phone
(503) 927-7775
NPI assigned
Sep 7, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2026

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

Authorized official

Name
Miss Naomi Alemseged Kasahun
Title
Owner
Phone
(503) 927-7775

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

2817 SE 151St Ave
Portland, OR 97236-2325

Mailing address

2817 SE 151St Ave
Portland, OR 97236-2325

NPI Registry JSON

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

{
    "created_epoch": "1788739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788739200000",
    "number": "1851200554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 SE 151ST AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972362325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 SE 151ST AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972362325",
            "telephone_number": "503-927-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE BRANCH RESIDENTIAL TREATMENT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-07",
        "last_updated": "2026-09-07",
        "certification_date": "2026-09-07",
        "status": "A",
        "authorized_official_last_name": "KASAHUN",
        "authorized_official_first_name": "NAOMI",
        "authorized_official_middle_name": "ALEMSEGED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-927-7775",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.