Organization
UNITY RESIDENTIAL TREATMENT HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENA GOMALO (CO-OWNER)
(503) 757-4025
Entity
Organization
Contact information
Practice address
19664 SW STACEY ST, BEAVERTON, OR 97003-2520
(503) 757-4025
Mailing address
19664 SW STACEY ST, BEAVERTON, OR 97003-2520
(503) 757-4025
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/27/2025
Last updated
06/27/2025
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