Organization Active NPI

Open Arms PDX LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Gladstone, OR
National Provider Identifier
1073497319
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
OPEN ARMS PDX LLC
Practice address
17275 Charolais Way
Gladstone, OR 97027-1269
Phone
(425) 524-2492
NPI assigned
Jul 31, 2025
Last updated
Jul 31, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tsedenya Kebde
Title
Manager
Phone
(425) 524-2492

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

17275 Charolais Way
Gladstone, OR 97027-1269

Mailing address

17275 Charolais Way
Gladstone, OR 97027-1269
Phone (425) 524-2492

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1753920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753920000000",
    "number": "1073497319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17275 CHAROLAIS WAY",
            "city": "GLADSTONE",
            "state": "OR",
            "postal_code": "970271269",
            "telephone_number": "425-524-2492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17275 CHAROLAIS WAY",
            "city": "GLADSTONE",
            "state": "OR",
            "postal_code": "970271269",
            "telephone_number": "425-524-2492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN ARMS PDX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-31",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A",
        "authorized_official_last_name": "KEBDE",
        "authorized_official_first_name": "TSEDENYA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "425-524-2492"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gladstone, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.