Healthcare Provider Details

I. General information

NPI: 1144112178
Provider Name (Legal Business Name): NEW LIVING HOPE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2025
Last Update Date: 07/15/2025
Certification Date: 07/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8401 NE HALSEY ST
PORTLAND OR
97220-5670
US

IV. Provider business mailing address

8401 NE HALSEY ST STE 208
PORTLAND OR
97220-5670
US

V. Phone/Fax

Practice location:
  • Phone: 781-298-1906
  • Fax: 503-296-2937
Mailing address:
  • Phone: 791-298-1106
  • Fax: 503-296-2937

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MR. GILBERT BAGUMA
Title or Position: CEO
Credential:
Phone: 781-298-1906