Exodus LLC
Exodus LLC is a healthcare organization registered as Intellectual and/or Developmental Disabilities Residential Treatment Facility in Gresham, OR, holding Type 2 (organization) NPI 1205753795 since 2026. The authorized official on file is Bereket Woticha, Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1205753795 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Exodus LLC |
| Practice address | 21321 SE ALDER ST, Gresham, OR, 97030 |
| Phone | 708-632-3841 |
| Fax | 708-632-3841 |
| Enumeration date | 2026-07-04 |
| Last updated in NPPES | 2026-07-04 |
Authorized official
| Name | Bereket Woticha |
|---|---|
| Title | Director |
| Phone | 7086323841 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | Secondary | — | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | Primary | — | — |
Copy-ready billing details
Provider: Exodus LLC NPI: 1205753795 Taxonomy: 320600000X (Intellectual and/or Developmental Disabilities Residential Treatment Facility) Address: 21321 SE ALDER ST, Gresham, OR, 97030
Verify this record
Cross-check NPI 1205753795 against the authoritative CMS record: view Exodus LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Exodus LLC?
What is the NPI number for Exodus LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2026-07-04.