Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kanewood Residential LLC

Organization Mental Illness Community Based Residential Treatment Facility · NPI 1114850245

Kanewood Residential LLC is a Mental Illness Community Based Residential Treatment Facility in Gresham, Oregon. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

425 SE Kane Dr
Gresham, OR 97080-1628
Phone: (503) 927-9202
Fax: (503) 927-9202
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Illness Community Based Residential Treatment Facility (primary) Taxonomy 320800000X

Record details

NPI number1114850245
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alazar Kassa — Administrator · (503) 927-9202
NPI enumeratedJune 8, 2026
Last updated in NPPESJune 8, 2026
Certification dateJune 8, 2026
Mailing address425 Se Kane Dr, Gresham, OR 97080-1628

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