Lale RTH

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

LALE RTH

Practice address

1221 Autumn Blvd
Woodburn, OR 97071-5761

Phone

(702) 350-4309

NPI assigned

Sep 30, 2026

Last updated

Sep 30, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yosef Molla

Title

Administrator

Phone

(702) 350-4309

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1790726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790726400000",
    "number": "1104730696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 AUTUMN BLVD",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "970715761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 AUTUMN BLVD",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "970715761",
            "telephone_number": "702-350-4309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LALE RTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-30",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A",
        "authorized_official_last_name": "MOLLA",
        "authorized_official_first_name": "YOSEF",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-350-4309"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Michael Kohl, PHARM D
• Elena Valeryevna Kormaskova, MD
• Tana Kornachuk, PA-C
• Mania Kupershtok
• Laboratory Corporation of America
• Tina Marie Leavenworth, LMT
• Legacy Clinic Woodburn
• Noemi Legaspi, B.A., B.S., MA
• Kristen Marie Leinung, PMHNP
• Tara L Lenox, RN

• Mental Illness Community Based Residential Treatment Facility in Woodburn, OR
• Providers in Woodburn, OR by specialty
• Mental Illness Community Based Residential Treatment Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.