Individual provider · Type 1 NPI

Elias Zewdu Ketema

Mental Illness Community Based Residential Treatment Facility · Portland, OR

NPI number 1992675664 Active

Practice location

329 NE 156th Ave
Portland, OR 97230-4818

Call (507) 351-7505 Map

Mailing address

14211 SE 120th Pl
Clackamas, OR 97015-7243

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 1992675664

Elias Zewdu Ketema's National Provider Identifier is 1992675664, issued on Nov 7, 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 Nov 7, 2025.