Organization Active NPI

MTK Health RTH LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Beaverton, OR
National Provider Identifier
1669395430
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
MTK HEALTH RTH LLC
Practice address
495 SW 167TH Ave
Beaverton, OR 97006-7961
Phone
(503) 470-9783
NPI assigned
Jul 30, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Authorized official

Name
Tewodros Gizatu
Title
Owner/Admin
Phone
(503) 470-9783

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

495 SW 167TH Ave
Beaverton, OR 97006-7961

Mailing address

495 SW 167TH Ave
Beaverton, OR 97006-7961
Phone (503) 470-9783

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1785369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1669395430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 SW 167TH AVE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970067961",
            "telephone_number": "503-470-9783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 SW 167TH AVE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970067961",
            "telephone_number": "503-470-9783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MTK HEALTH RTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-30",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "GIZATU",
        "authorized_official_first_name": "TEWODROS",
        "authorized_official_title_or_position": "OWNER/ADMIN",
        "authorized_official_telephone_number": "503-470-9783"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; 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.