Organization Active NPI

Etansa Behavioral Health LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Happy Valley, OR
National Provider Identifier
1851204135
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
ETANSA BEHAVIORAL HEALTH LLC
Practice address
13095 SE Snowfire Dr
Happy Valley, OR 97086-8021
Phone
(214) 586-9800
NPI assigned
Sep 25, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

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

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

Addresses

Primary practice location

13095 SE Snowfire Dr
Happy Valley, OR 97086-8021

Mailing address

12161 SE Johansen CT
Clackamas, OR 97015-7226
Phone (214) 586-9800

NPI Registry JSON

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

{
    "created_epoch": "1790294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790294400000",
    "number": "1851204135",
    "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": "13095 SE SNOWFIRE DR",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970868021",
            "telephone_number": "214-586-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETANSA BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-25",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "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": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Happy Valley, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.