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Rehoboth Treatment Home LLC

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Beaverton, OR. Organization (NPI-2).

NPI number1265356232
StatusActive
Last updated in NPPESAug 4, 2026

Details

NPI
1265356232
Entity type
Organization (NPI-2)
Legal business name
Rehoboth Treatment Home LLC
Organization subpart
No
Enumeration date
Aug 4, 2026
Certification date
Aug 4, 2026
Last updated
Aug 4, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities––Yes

Practice location

21675 Sw Jay St
Beaverton, OR 97003-7072

Phone 510-227-4685

Mailing address

21675 Sw Jay St
Beaverton, OR 97003-7072

Authorized official

Tsehay Zeleke Befirdu
Owner
5102274685

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