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Organization

RIVER BEND RESIDENTIAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JACKLINE MUTITU (DIRECTOR)
(774) 225-2246
Entity
Organization

Contact information

Practice address
3532 NW 3RD AVE, HILLSBORO, OR 97124-1508
(774) 225-2246
Mailing address
3532 NW 3RD AVE, HILLSBORO, OR 97124-1508

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary

Other

Enumeration date
04/30/2026
Last updated
04/30/2026
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