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General NPI Number Information
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NPI Number | 1790638625
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Entity Type | Organization
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Legal Business Name | GENTLE HANDS TREATMENT HOME LLC
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Dates
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Enumeration Date | 02/19/2026
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Last Update Date | 02/19/2026
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Provider Practice Location Address
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Address Line | 12333 SE EAGLE GLEN DR # OR97086
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City | HAPPY VALLEY
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State | OR
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Zip | 97086-6558
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Country | US
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Telephone | 503-305-1156
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Fax | 503-305-1156
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Provider Business Mailing Address
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Address Line | 12333 SE EAGLE GLEN DR # OR97086
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City | HAPPY VALLEY
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State | OR
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Zip | 97086-6558
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Country | US
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Telephone | 503-305-1156
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Fax | 503-305-1156
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Authorized Official
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Title or Position | MANAGER
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Name | EYUEL HOSANA TEMESGEN
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Credential | ADMINISTRATOR
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Telephone | 503-305-1156
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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