Eyuel Etansa Afh

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

EYUEL ETANSA AFH

Practice address

12161 SE Johansen CT
Clackamas, OR 97015-7226

Phone

(214) 586-9800

NPI assigned

Sep 23, 2025

Organization subpart

No

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

Authorized official

Name

Eyuel Etansa

Title

Director

Phone

(214) 586-9800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1758585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758585600000",
    "number": "1316819733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12161 SE JOHANSEN CT",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970157226",
            "telephone_number": "214-586-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12161 SE JOHANSEN CT",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970157226",
            "telephone_number": "214-586-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYUEL ETANSA AFH",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-23",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A",
        "authorized_official_last_name": "ETANSA",
        "authorized_official_first_name": "EYUEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "214-586-9800"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Mental Health Clinic/Center in Clackamas, OR
• Providers in Clackamas, OR by specialty
• Adult Mental Health Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.