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
15576 SE THORNBRIDGE DR, 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
03/16/2026
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