Organization
EVERGREEN RESIDENTIAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABRAHAM BEYENE (MANAGER)
(503) 839-9354
Entity
Organization
Contact information
Practice address
13119 SE ALMOND CT, CLACKAMAS, OR 97015-6310
(503) 839-9354
Mailing address
13119 SE ALMOND CT, CLACKAMAS, OR 97015-6310
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/19/2026
Last updated
03/19/2026
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