Organization
WUDASSIE RESIDENTIAL TREATMENT HOME
Active
Organization
WUDASSIE RESIDENTIAL TREATMENT HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIDYA BEYENE (ADMINISTRATOR)
(651) 403-0259
Entity
Organization
Contact information
Practice address
5929 SE RHONE ST, PORTLAND, OR 97206-2867
(651) 403-0259
Mailing address
5929 SE RHONE ST, PORTLAND, OR 97206-2867
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/29/2025
Last updated
08/29/2025
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