| Open Arms Pdx Llc | |
|
17275 Charolais Way Gladstone OR 97027-1269 | |
| (425) 524-2492 | |
| Not Available |
| Full Name | Open Arms Pdx Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 17275 Charolais Way, Gladstone, Oregon |
| Authorized Official Name and Position | Tsedenya Kebde (MANAGER) |
| Authorized Official Contact | 4255242492 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Open Arms Pdx Llc 17275 Charolais Way Gladstone OR 97027-1269 Ph: (425) 524-2492 | Open Arms Pdx Llc 17275 Charolais Way Gladstone OR 97027-1269 Ph: (425) 524-2492 |
| NPI Number | 1073497319 |
|---|---|
| Provider Enumeration Date | 07/31/2025 |
| Last Update Date | 07/31/2025 |
| Certification Date | 07/31/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073497319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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