Esrom LLC

NPI #1114803384 in Portland, Oregon

Provider Information

NPI Number: 1114803384
Entity Type: Organization
Organization Name: Esrom LLC
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Aug 13, 2025
Last Updated: Aug 13, 2025

Practice Location

Address: 16833 NE FLANDERS ST
City: Portland
State: Oregon
ZIP Code: 97230-6246
Phone: (503) 493-3198

Authorized Official

Name: RAHEL HAILE
Title: OPERATOR
Phone: (503) 493-3198

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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