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Active NPI 1609737790 Organization (Entity Type 2)

Evercare Support Llc

Nurse Practitioner - Psychiatric/Mental Health • Gresham, OR

About Evercare Support Llc NPI 1609737790 Summary

Evercare Support Llc is a verified healthcare organization specializing in Nurse Practitioner - Psychiatric/Mental Health operating in Gresham, OR. Located at 1370 NW DIVISION ST, this facility provides patient care and medical services under National Provider Identifier (NPI) 1609737790.

Administrative operations and authorized compliance are overseen by Kidus Jalele (Adminstrator).

Facility Location & Contact Primary Location

Facility Address

1370 Nw Division St

Gresham, OR 970305350

Telephone 2063077941

Authorized Official Information

Authorized Contact Name

Kidus Jalele

Title / Role

Adminstrator

Official Telephone

2063077941

Facility Classifications & Specialties

Nurse Practitioner - Psychiatric/Mental Health Primary Taxonomy

NUCC Taxonomy Code: 363LP0808X

Definition to come...

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events

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NPI Profile Active November 19, 2025

NPI status registered as active in NPPES database

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Updated Practice Location November 19, 2025

Registered at 1370 NW DIVISION ST, GRESHAM, OR 970305350 (Tel: 2063077941)

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Updated Business Mailing Address November 19, 2025

Registered at 1370 NW DIVISION ST, GRESHAM, OR 970305350 (Tel: 2063077941)

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Organization / Clinic Name Updated November 19, 2025

Operating as EVERCARE SUPPORT LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 19, 2025

Nurse Practitioner

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Initial NPI Registration & Enumeration November 19, 2025

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1609737790

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: November 19, 2025

Last Update: November 19, 2025

Update or Correct Listing

Mailing Address

1370 Nw Division St

Gresham, OR 970305350

Phone: 2063077941

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.

⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.