Active NPI
Safespace LLC
- Substance Use Disorder Rehabilitation Clinic/Center
- Beaverton, OR
National Provider Identifier
1700619533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- SAFESPACE LLC
- Practice address
- 12655 SW Center St Ste 145
Beaverton, OR 97005-1864 - Phone
- (619) 510-3230
- NPI assigned
- Aug 26, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yared Darcha
- Title
- Manager
- Phone
- (971) 762-2087
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Primary | ||
| Substance Abuse Rehabilitation Facility | 324500000X |
Addresses
Primary practice location
12655 SW Center St Ste 145
Beaverton, OR 97005-1864
Mailing address
12655 SW Center St Ste 145
Beaverton, OR 97005-1864
Phone (971) 762-2089
National Provider Directory
National Provider DirectoryLocations
12655 SW Center St
Ste 145
Beaverton, OR 97005
Phone (619) 510-3230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724630400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760400000000",
"number": "1700619533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12655 SW CENTER ST STE 145",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970051864",
"telephone_number": "971-762-2089",
"fax_number": "971-762-2087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12655 SW CENTER ST STE 145",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970051864",
"telephone_number": "619-510-3230"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAFESPACE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-26",
"last_updated": "2025-10-14",
"certification_date": "2025-10-14",
"status": "A",
"authorized_official_last_name": "DARCHA",
"authorized_official_first_name": "YARED",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "971-762-2087"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": true
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": false
}
],
"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 Oct 14, 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.