Healthcare Provider Details

I. General information

NPI: 1346153699
Provider Name (Legal Business Name): HARMONY CARE RTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1388 NE 19TH ST
GRESHAM OR
97030-4116
US

IV. Provider business mailing address

1388 NE 19TH ST
GRESHAM OR
97030-4116
US

V. Phone/Fax

Practice location:
  • Phone: 971-336-7430
  • Fax:
Mailing address:
  • Phone: 971-336-7430
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number StateNULL

VIII. Authorized Official

Name: HAWI TUFA
Title or Position: ADMINISTRATOR
Credential:
Phone: 971-336-7430