Organization
HAVEN CENTER LLC
Active
Other names
Haven Center of Oregon
Organization subpart
No
Provider details
NPI number
Authorized official
JULIETA SICAT (PRESIDENT)
(503) 267-8012
Entity
Organization
Contact information
Practice address
4345 SW 109TH AVE, BEAVERTON, OR 97005-3026
(503) 267-8012
Mailing address
PO BOX 230102, TIGARD, OR 97281-0102
(503) 267-8012
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/02/2026
Last updated
03/02/2026
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