OrganizationActive
Safespace LLC
NPI 1700619533 · Substance Use Disorder Rehabilitation Clinic/Center · Beaverton, OR
Provider details
- NPI number
- 1700619533
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Yared Darcha, Manager(971) 762-2087
Specialties & taxonomies
Ambulatory Health Care Facilities
- Community/Behavioral Health Agency251S00000X
Agencies
Ambulatory Health Care Facilities
- Substance Abuse Rehabilitation Facility324500000X
Residential Treatment Facilities
Practice location
12655 Sw Center St Ste 145
Beaverton, OR 97005-1864
Phone: (619) 510-3230
Approximate (ZIP-level) locationGet directions
Mailing address
12655 Sw Center St Ste 145
Beaverton, OR 97005-1864
Registry dates
- Enumerated
- 2024-08-26
- Last updated
- 2025-10-14
- Certified
- 2025-10-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.