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Organization

MASADA 2 CORPORATION, DBA: LIFE RECOVERY TREATMENT CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GOBENA SEIFU EXECUTIVE DIRECTOR (DIRECTOR)
(971) 261-8518
Entity
Organization

Contact information

Practice address
615 SW BROADWAY, PORTLAND, OR 97205-3410
(971) 261-8518
Mailing address
8982 SE SCOTTSTREE WAY, CLACKAMAS, OR 97015-8535
(971) 261-8518
(503) 305-6268

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary

Other

Enumeration date
09/26/2025
Last updated
10/04/2025
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