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

Ty Residential Wellness LLC

Organization Mental Illness Community Based Residential Treatment Facility · NPI 1952223729

Ty Residential Wellness 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

1211 SE 212th Ave
Gresham, OR 97030-3452
Phone: (503) 841-0801
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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 number1952223729
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tewabech Teka — Owner / Program Administrator · (503) 841-0801
NPI enumeratedJuly 27, 2026
Last updated in NPPESJuly 27, 2026
Certification dateJuly 26, 2026
Mailing address15577 Se Bollam Dr, Clackamas, OR 97015-6653

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