NPI 1023801768
Healthcare LLC.
Practice location
- Address
- 459 SE 192nd Ave APT 502, Portland, OR 97233-5997
- Phone
- (971) 429-9813
- Fax
- (971) 429-9813
Authorised official
- Name
- Dewo Mebrat Yadeto
- Title
- Lnha
- Phone
- (971) 429-9813
Registered specialties
Mental Illness Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1023801768
- Entity type
- Organization
- NPI issued
- 26 May 2025
- Record last updated
- 31 May 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.