Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

NW Residential Support LLC

Organization Mental Illness Community Based Residential Treatment Facility · NPI 1063325900

NW Residential Support LLC is a Mental Illness Community Based Residential Treatment Facility in Portland, Oregon. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

13719 SE Clinton Ct
Portland, OR 97236-2859
Phone: (503) 826-6790
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Illness Community Based Residential Treatment Facility (primary) Taxonomy 320800000X

Record details

NPI number1063325900
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wariso Buta — Owner/Ceo · (503) 826-6790
NPI enumeratedSeptember 23, 2026
Last updated in NPPESSeptember 28, 2026
Certification dateSeptember 28, 2026
Mailing address13719 Se Clinton Ct, Portland, OR 97236-2859

Other providers in Portland