Lale Rth
Community Based Residential Treatment Facility, Mental Illness in Woodburn, OR. Organization (NPI-2).
NPI number1104730696
StatusActive
Last updated in NPPESSep 30, 2026
Details
- NPI
- 1104730696
- Entity type
- Organization (NPI-2)
- Legal business name
- Lale Rth
- Organization subpart
- No
- Enumeration date
- Sep 30, 2026
- Certification date
- Sep 30, 2026
- Last updated
- Sep 30, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | – | – | Yes |
Practice location
1221 Autumn BlvdWoodburn, OR 97071-5761
Phone 702-350-4309
Mailing address
1221 Autumn BlvdWoodburn, OR 97071-5761
Authorized official
Yosef Molla
Administrator
7023504309
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