Active NPI
Rise Home Recover
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Portland, OR
National Provider Identifier
1902778822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Legal business name
- RISE HOME RECOVER
- Practice address
- 10734 SE Long St
Portland, OR 97266-3445 - Phone
- (208) 292-8340
- NPI assigned
- Sep 19, 2025
- 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
- Kristina Sue Jenkins
- Title
- Owner
- Phone
- (208) 292-8340
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Primary |
Addresses
Primary practice location
10734 SE Long St
Portland, OR 97266-3445
Mailing address
10734 SE Long St
Portland, OR 97266-3445
Phone (208) 292-8340
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758240000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758240000000",
"number": "1902778822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10734 SE LONG ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972663445",
"telephone_number": "208-292-8340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10734 SE LONG ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972663445",
"telephone_number": "208-292-8340"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RISE HOME RECOVER",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-19",
"last_updated": "2025-09-19",
"certification_date": "2025-09-19",
"status": "A",
"authorized_official_last_name": "JENKINS",
"authorized_official_first_name": "KRISTINA",
"authorized_official_middle_name": "SUE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "208-292-8340"
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"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 19, 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.