Individual provider · Type 1 NPI
Betelehem Abegaz
Mental Illness Community Based Residential Treatment Facility · Portland, OR
NPI number
1598626756
Active
Practice location
4355 NE 62nd Ave
Portland, OR 97218-3205
Mailing address
20400 SW 72nd Ave
Tualatin, OR 97062-8278
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | None 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 1598626756
Betelehem Abegaz's National Provider Identifier is 1598626756, issued on Nov 18, 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 6, 2026.