Organization
ESROM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAHEL HAILE (OPERATOR)
(503) 493-3198
Entity
Organization
Contact information
Practice address
16833 NE FLANDERS ST, PORTLAND, OR 97230-6246
(503) 493-3198
Mailing address
16833 NE FLANDERS ST, PORTLAND, OR 97230-6246
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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