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

Shalom Sd Rth LLC

Organization Mental Illness Community Based Residential Treatment Facility · NPI 1043156706

Shalom Sd Rth LLC is a Mental Illness Community Based Residential Treatment Facility in Fairview, 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

1818 Fairview Ave
Fairview, OR 97024-3761
Phone: (404) 740-7257
Fax: (404) 740-7257
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 number1043156706
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sibamo Gaguro — Administrator · (404) 740-7257
NPI enumeratedApril 27, 2026
Last updated in NPPESApril 27, 2026
Certification dateApril 26, 2026
Mailing address1818 Fairview Ave, Fairview, OR 97024-3761

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