Organization
SUNNYSIDE HOOD RESIDENCIAL TREATMENT HOME LLC
Active
Organization
SUNNYSIDE HOOD RESIDENCIAL TREATMENT HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESKENDER HAGOS TESFAYE (DIRECTOR)
(503) 808-0865
Entity
Organization
Contact information
Practice address
12423SE BLAINE DRIVE, CLACKAMAS, OR 97015-6658
(503) 808-0865
(503) 427-2410
Mailing address
15576 SE THORNBRIDGE DR, CLACKAMAS, OR 97015-6658
(503) 808-0865
(503) 427-2410
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/16/2026
Last updated
07/23/2026
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