NPI 1003789066
Masada 1 Corporation
Practice location
- Address
- 980 Cornell Ave, Gladstone, OR 97027-1730
- Phone
- (871) 261-8517
- Fax
- (503) 305-6268
- Mailing address
- 8982 SE Scottstree Way, Clackamas, OR 97015-8535
Authorised official
- Name
- Gobena Seifu
- Title
- Administrator/Director
- Phone
- (971) 261-8518
Registered specialties
Psychiatric Residential Treatment Facility
Primary
Registry record
- NPI
- 1003789066
- Entity type
- Organization
- NPI issued
- 25 Sep 2025
- Record last updated
- 4 Oct 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.