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

Meron Teshome Mengesha

Individual provider Mental Illness Community Based Residential Treatment Facility · NPI 1730039082

Meron Teshome Mengesha is a Mental Illness Community Based Residential Treatment Facility in Gladstone, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2026

Practice location Address checks out

17305 Craig Ct
Gladstone, OR 97027-1268
Phone: (971) 430-5508
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 number1730039082
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 28, 2026
Last updated in NPPESJanuary 28, 2026
Certification dateJanuary 28, 2026

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