Healthcare Provider Details

I. General information

NPI: 1104632645
Provider Name (Legal Business Name): ARAMAIC RESIDENTIAL SERIVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2024
Last Update Date: 12/09/2024
Certification Date: 12/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7751 NW SPIREA ST
PORTLAND OR
97229-7087
US

IV. Provider business mailing address

7751 NW SPIREA ST
PORTLAND OR
97229-7087
US

V. Phone/Fax

Practice location:
  • Phone: 971-997-5174
  • Fax:
Mailing address:
  • Phone: 971-997-5174
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320700000X
TaxonomyPhysical Disabilities Residential Treatment Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. ELSHADAY ABERA BITEW
Title or Position: OWNER/FOUNDER
Credential:
Phone: 971-997-5174