Organization
INCREDIBLE RESIDENTIAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEMECHU JORJORE (DIRECTOR)
(702) 491-3964
Entity
Organization
Contact information
Practice address
2246 SE 90TH AVE, PORTLAND, OR 97216-2021
(702) 491-3964
(503) 894-8787
Mailing address
2246 SE 90TH AVE, PORTLAND, OR 97216-2021
(702) 491-3964
(503) 894-8787
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/22/2025
Last updated
10/02/2025
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