Individual provider · Type 1 NPI
Meron Teshome Mengesha
Mental Illness Community Based Residential Treatment Facility · Gladstone, OR
NPI number
1730039082
Active
Practice location
17305 Craig Ct
Gladstone, OR 97027-1268
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.
Other mental illness community based residential treatment facility providers in Gladstone
About NPI 1730039082
Meron Teshome Mengesha's National Provider Identifier is 1730039082, issued on Jan 28, 2026. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Gladstone, OR. The record was last updated on Jan 28, 2026.