NPI 1063332021

Agape21 Residential Treatment Home

Organisation Mental Illness Community Based Residential Treatment Facility Beaverton, OR

Practice location

Address: 19755 SW Blanton St, Beaverton, OR 97078-1214
Phone: (702) 292-3628

Authorised official

Name: Yewblike Mekonnen Zerihun
Title: Program Administrator
Phone: (702) 292-3628

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X

Other Community Based Residential Treatment Facility, Mental Illness providers in Oregon →

Registry record

NPI: 1063332021
Entity type: Organization
NPI issued: 20 Jul 2026
Record last updated: 20 Jul 2026

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.