MEDICARE: RAHAB'S SISTERS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251B00000X	Case Management Agency
2	251V00000X	Voluntary or Charitable Agency
3	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1679443352
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAHAB'S SISTERS

Provider Business Mailing Address
First Line	:	PO BOX 90234
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97290-0234
Country	:	US
Telephone Number	:	503-512-0240
Fax Number	:

Provider Business Practice Location Address
First Line	:	232 SE 80TH AVE
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97215-1524
Country	:	US
Telephone Number	:	971-208-3176
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	DESIREE EDEN OCAMPO
Credential	:
Telephone Number	:	503-512-0240

Provider Enumeration Date	:	11/07/2025
Last Update Date	:	11/07/2025

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Directions to “RAHAB'S SISTERS ” Practice Location

Language	Start Address	Practice Location

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