IndividualActive
Xavier Chavez Ibabao
NPI 1285458612 · Emotionally Disturbed Childrens' Residential Treatment Facility · Hillsboro, OR
Provider details
- NPI number
- 1285458612
- Entity type
- Individual
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Residential Treatment Facilities
Practice location
244 W Main St
Hillsboro, OR 97123-3961
Phone: (503) 846-8766
Approximate (ZIP-level) locationGet directions
Mailing address
244 W Main St
Hillsboro, OR 97123-3961
Registry dates
- Enumerated
- 2024-11-12
- Last updated
- 2024-11-12
- Certified
- 2024-11-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.