Active NPI
Felicificare Domus Salutis LLC
- Substance Abuse Rehabilitation Facility
- Portland, OR
National Provider Identifier
1942036561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- FELICIFICARE DOMUS SALUTIS LLC
- Practice address
- 11125 NE Sandy Blvd
Portland, OR 97220-2555 - Phone
- (971) 431-6436
- NPI assigned
- Sep 10, 2024
- Last updated
- Dec 15, 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
- Gemechis G Abdissa, PMHNP CANDIDATE
- Title
- Ceo
- Phone
- (971) 431-6436
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
11125 NE Sandy Blvd
Portland, OR 97220-2555
Mailing address
11125 NE Sandy Blvd
Portland, OR 97220-2555
Phone (971) 431-6436
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- Portland, OR
- NPI 1801710660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725926400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765756800000",
"number": "1942036561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11125 NE SANDY BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972202555",
"telephone_number": "971-431-6436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11125 NE SANDY BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972202555",
"telephone_number": "971-431-6436"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FELICIFICARE DOMUS SALUTIS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-10",
"last_updated": "2025-12-15",
"certification_date": "2025-12-15",
"status": "A",
"authorized_official_last_name": "ABDISSA",
"authorized_official_first_name": "GEMECHIS",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "971-431-6436",
"authorized_official_credential": "PMHNP CANDIDATE"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"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 Dec 15, 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.