NPI 1114850245

Kanewood Residential LLC

Organisation Mental Illness Community Based Residential Treatment Facility Gresham, OR

Practice location

Address: 425 SE Kane Dr, Gresham, OR 97080-1628
Phone: (503) 927-9202
Fax: (503) 927-9202

Authorised official

Name: Alazar Kassa
Title: Administrator
Phone: (503) 927-9202

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: 1114850245
Entity type: Organization
NPI issued: 8 Jun 2026
Record last updated: 8 Jun 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.