Organization Active NPI

Pacific RTH LLC

  • Physical Disabilities Residential Treatment Facility
  • Portland, OR
National Provider Identifier
1982500591
Registry record updated Oct 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
Legal business name
PACIFIC RTH LLC
Practice address
11710 SW North Dakota St
Portland, OR 97223-3263
Phone
(503) 734-4374
NPI assigned
Oct 19, 2026
Last updated
Oct 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2026

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

Authorized official

Name
Andualem Abebe
Title
Owner
Phone
(503) 734-4374

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Disabilities Residential Treatment Facility 320700000X Primary

Addresses

Primary practice location

11710 SW North Dakota St
Portland, OR 97223-3263

Mailing address

11710 SW North Dakota St
Portland, OR 97223-3263
Phone (503) 734-4374

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1792368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792368000000",
    "number": "1982500591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11710 SW NORTH DAKOTA ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972233263",
            "telephone_number": "503-734-4374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11710 SW NORTH DAKOTA ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972233263",
            "telephone_number": "503-734-4374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC RTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-19",
        "last_updated": "2026-10-19",
        "certification_date": "2026-10-19",
        "status": "A",
        "authorized_official_last_name": "ABEBE",
        "authorized_official_first_name": "ANDUALEM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-734-4374"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.