Individual provider · Type 1 NPI

Kidist Zewde

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Portland, OR

NPI number 1750293593 Active

Practice location

8625 SE Rhone St
Portland, OR 97266-2856

Mailing address

8972 SE Spyglass Dr
Happy Valley, OR 97086-7368

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XNone listed

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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About NPI 1750293593

Kidist Zewde's National Provider Identifier is 1750293593, issued on Sep 17, 2026. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Portland, OR. The record was last updated on Sep 17, 2026.