Organization
SURAFEL RTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SURAFEL REGASA (ADMINISTRATOR)
(971) 407-6843
Entity
Organization
Contact information
Practice address
6695 SW HYLAND WAY, BEAVERTON, OR 97008-5034
(971) 407-6843
Mailing address
6695 SW HYLAND WAY, BEAVERTON, OR 97008-5034
(971) 407-6843
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/18/2025
Last updated
12/18/2025
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