NPI 1578402939
Ebenezer LLC
Practice location
- Address
- 4055 NE 218th Ave, Fairview, OR 97024-8778
- Phone
- (240) 423-5267
Authorised official
- Name
- Bethel Eshetu Tadesse
- Title
- Director
- Phone
- (240) 423-5267
Registered specialties (2)
Nursing Care Agency
Primary
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Registry record
- NPI
- 1578402939
- Entity type
- Organization
- NPI issued
- 27 Mar 2026
- Record last updated
- 27 Mar 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.