Elderly and Disabled Services

NPI #1417764077 in Beaverton, Oregon

Provider Information

NPI Number: 1417764077
Entity Type: Organization
Organization Name: Elderly and Disabled Services
Subpart: Yes (part of a larger organization)
Parent Organization: ELDERLY AND DISABLED SERVICES
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Dec 16, 2024
Last Updated: Feb 19, 2025

Practice Location

Address: 995 SW 178TH PL
City: Beaverton
State: Oregon
ZIP Code: 97003-7504
Phone: (458) 225-9358

Authorized Official

Name: MR. LARRY MICHAEL MCPHEE
Title: OWNER/PROVIDER
Phone: (541) 261-1991

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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