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Organization
SAFE HARBOR RTH
Active
Organization
SAFE HARBOR RTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETHEL TADESSE PMHNP (EXECUTIVE DIRECTOR)
(240) 423-5267
Entity
Organization
Contact information
Practice address
7724 SE 103RD AVE, PORTLAND, OR 97266-6051
(240) 423-5267
Mailing address
7724 SE 103RD AVE, PORTLAND, OR 97266-6051
(240) 423-5267
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
NULL
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/15/2026
Last updated
10/08/2026
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