Healthcare Provider Details

I. General information

NPI: 1396679312
Provider Name (Legal Business Name): KEYSTONE RTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1480 NE KANE DR
GRESHAM OR
97030-4643
US

IV. Provider business mailing address

421 RICHMOND AVE SE
SALEM OR
97301-6718
US

V. Phone/Fax

Practice location:
  • Phone: 503-387-9145
  • Fax:
Mailing address:
  • Phone: 503-387-9145
  • 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 State

VIII. Authorized Official

Name: ZACHARY C DOUGLASS
Title or Position: OWNER
Credential:
Phone: 503-387-9145