Organization
GROWTH RESIDENTIAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMAR AHMED (OWNER)
(818) 818-4877
Entity
Organization
Contact information
Practice address
6086 SW 161ST AVE, BEAVERTON, OR 97007-4012
(818) 818-4877
Mailing address
6086 SW 161ST AVE, BEAVERTON, OR 97007-4012
(818) 818-4877
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/27/2025
Last updated
12/27/2025
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