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FITSUM ABERA AKLILU
NPI 1730051087
Community Based Residential Treatment Facility, Mental Illness in Clackamas, OR

Active since September 18, 2025
11762 SE MARKET DR, CLACKAMAS, OR 97015(971) 331-0569(503) 698-5568 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Fitsum Abera Aklilu NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FITSUM ABERA AKLILU (NPI 1730051087) is an individual community based residential treatment facility, mental illness provider in Clackamas, Oregon and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1730051087
Entity TypeIndividualMale
Primary Taxonomy320800000X
Provider Legal NameFITSUM ABERA AKLILU
Location Address11762 SE MARKET DRClackamas, OR 97015-8674
Mailing Address12446 Se Eagle Glen DrHappy Valley, OR 97086-6499 · (971) 331-0569 · Fax (503) 698-5568
Phone(971) 331-0569
Fax(503) 698-5568
Sole ProprietorYes
Enumeration DateSeptember 18, 2025
NPPES CertifiedSeptember 17, 2025
✔ NPI 1730051087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
11762 SE MARKET DR, Clackamas, OR 97015
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fitsum Aklilu's NPI number?

The NPI number for Fitsum Aklilu is 1730051087. It was assigned to this individual provider in the NPPES registry on September 18, 2025.

Where is Fitsum Aklilu located?

Fitsum Aklilu practices at 11762 SE Market Dr, Clackamas, OR 97015. The listed phone number is (971) 331-0569.

What is Fitsum Aklilu's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Fitsum Aklilu was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.