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“Mental Illness Community Based Residential Treatment Facility” (Clackamas, OR)

Location: Clackamas, OR
Taxonomy: Mental Illness Community Based Residential Treatment Facility.

A provider can have more than one taxonomy code. It is critical to register all applicable taxonomy codes with NPPES and to use the correct taxonomy code to represent the specific specialty when filing claims. This will assist in more accurate and timely processing of claims.
1205705241 — MICHAEL GETACHEW RAGA
Practice Location Address:
14924 SE 119TH AVE
CLACKAMAS OR
97015-9241
Practice Phone: 507-720-3541
1245134683 — ESKEDAR ASAMNEW
Practice Location Address:
15395 SE BOLLAM DRIVE
CLACKAMAS OR
97015-7637
Practice Phone: 571-502-2093
1437006582 — SUNNYSIDE HOOD RESIDENCIAL TREATMENT HOME LLC
Practice Location Address:
12423SE BLAINE DRIVE
CLACKAMAS OR
97015-6658
Practice Phone: 503-808-0865
1437007069 — EVERGREEN RESIDENTIAL CARE LLC
Practice Location Address:
13119 SE ALMOND CT
CLACKAMAS OR
97015-6310
Practice Phone: 503-839-9354
1659528693 — KAISER FOUNDATION HOSPITALS
Practice Location Address:
10180 SE SUNNYSIDE RD
CLACKAMAS OR
97015-9303
Practice Phone: 503-571-1999
1710881099 — FAITH CARE RESIDENTIAL LLC
Practice Location Address:
14990 SE TERRITORY DR
CLACKAMAS OR
97015-6352
Practice Phone: 206-591-0966
1720990740 — HAVEN GRACE
Practice Location Address:
13480 SE 132ND AVE
CLACKAMAS OR
97015-9338
Practice Phone: 574-551-5277
1730051087 — FITSUM ABERA AKLILU
Practice Location Address:
11762 SE MARKET DR
CLACKAMAS OR
97015-8674
Practice Phone: 971-331-0569
1730091943 — AARON GEBEREMESKEL
Practice Location Address:
13200 SE 128TH AVE
CLACKAMAS OR
97015-9331
Practice Phone: 214-609-2700

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