OrganizationActive
Educational Training Program Inc.
NPI 1417375270 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Oregon City, OR
Provider details
- NPI number
- 1417375270
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Parent organization
- Educational Training Program Inc.
- Organization subpart
- Yes
- Authorized official
- Kambiz Ghasedi, President(541) 915-6766
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
15420 Forsythe Rd
Oregon City, OR 97045-8742
Phone: (541) 915-6766
Fax: (503) 723-9964
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 69
Oregon City, OR 97045-0069
Registry dates
- Enumerated
- 2014-03-30
- Last updated
- 2014-03-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.