Individual
BINIYAM TESFAYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
340 NE 19TH ST, GRESHAM, OR 97030-4006
(503) 607-7373
Mailing address
340 NE 19TH ST, GRESHAM, OR 97030-4006
(503) 607-7373
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/13/2025
Last updated
11/13/2025
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