=====================================================
General NPI Number Information
=====================================================
NPI Number | 1235005729
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NEXT CHAPTER LIVING LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/13/2025
-----------------------------------------------------
Last Update Date | 10/13/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4548 SW 191ST AVE
-----------------------------------------------------
City | BEAVERTON
-----------------------------------------------------
State | OR
-----------------------------------------------------
Zip | 97078-2425
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 720-285-6147
-----------------------------------------------------
Fax | 503-430-1555
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4548 SW 191ST AVE
-----------------------------------------------------
City | BEAVERTON
-----------------------------------------------------
State | OR
-----------------------------------------------------
Zip | 97078-2425
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 720-285-6147
-----------------------------------------------------
Fax | 503-430-1555
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | ESTIFANOS BEKELE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 720-285-6147
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 320800000X
-----------------------------------------------------
Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------