Organization · Type 2 NPI

Wudassie Residential Treatment Home

Mental Illness Community Based Residential Treatment Facility · Portland, OR

NPI number 1447139779 Active

Practice location

5929 SE Rhone St
Portland, OR 97206-2867

Call (651) 403-0259 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000XNone listed

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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About NPI 1447139779

Wudassie Residential Treatment Home's National Provider Identifier is 1447139779, issued on Aug 29, 2025. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Portland, OR. The record was last updated on Aug 29, 2025.