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General NPI Number Information
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NPI Number | 1215851415
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Entity Type | Organization
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Legal Business Name | GLOBAL RESIDENTIAL TREATMENT HOME LLC
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Dates
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Enumeration Date | 08/10/2026
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Last Update Date | 08/14/2026
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Provider Practice Location Address
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Address Line | 11335 SW VIEWMOUNT CT
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City | TIGARD
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State | OR
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Zip | 97223-3732
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Country | US
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Telephone | 503-939-9459
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Fax |
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Provider Business Mailing Address
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Address Line | 11335 SW VIEWMOUNT CT STE 240
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City | TIGARD
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State | OR
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Zip | 97223-3732
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Country | US
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Telephone | 503-939-9459
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Fax |
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Authorized Official
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Title or Position | PROVIDER
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Name | TAMIRAT GURMU KANEA
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Credential |
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Telephone | 503-939-9459
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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