Organization
PLEASANT VALLEY RTH LLC
Active
Other names
PLEASANT VALLEY RTH LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN KANGU (EXCECUTIVE DIRECTOR)
(253) 753-3515
Entity
Organization
Contact information
Practice address
1875 SW EASTWOOD AVE, GRESHAM, OR 97080-9784
(253) 753-3515
Mailing address
2722 NE 122ND AVE, PORTLAND, OR 97230-1603
(253) 753-3515
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/21/2025
Last updated
05/30/2025
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