BINIYAM TESFAYE

Psychiatric Residential Treatment Facility

Active Individual
NPI: 1609736404

Practice Address

340 NE 19TH ST
Gresham, OR 97030

Phone: (503) 607-7373

Specialties

Specialty Code Primary License
Psychiatric Residential Treatment Facility 323P00000X Yes -

Frequently Asked Questions

NPI 1609736404 is the National Provider Identifier for BINIYAM TESFAYE, a Psychiatric Residential Treatment Facility provider located in Gresham, OR. This NPI was enumerated on November 13, 2025.
BINIYAM TESFAYE practices at 340 NE 19TH ST, Gresham, OR 97030.

Quick Facts

NPI
1609736404
Type
Individual
Enumerated
Nov 13, 2025
Last Updated
Nov 13, 2025

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