Organization
LIFE RESTORATION MISSIONS
Active
Other names
Restorative Journey
Organization subpart
No
Provider details
NPI number
Authorized official
JULIUS MAXIMO (ADMIN)
(617) 202-8004
Entity
Organization
Contact information
Practice address
6111 SW LESSER WAY, PORTLAND, OR 97219-7040
(503) 500-7744
Mailing address
6111 SW LESSER WAY, PORTLAND, OR 97219-7040
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/16/2024
Last updated
02/18/2026
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