Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Gelgelu Yadeto

Individual provider Mental Illness Community Based Residential Treatment Facility · NPI 1710895594

Gelgelu Yadeto is registered under Mental Illness Community Based Residential Treatment Facility in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2026

Practice location Address checks out

3632 SE 151st Ave
Portland, OR 97236-2230
Phone: (503) 516-0632
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 (OR)

Record details

NPI number1710895594
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 31, 2026
Last updated in NPPESAugust 31, 2026
Certification dateAugust 31, 2026

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