FITSUM A. AKLILU – NPI #1730051087
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

FITSUM AKLILU is a community based residential treatment facility located in CLACKAMAS, OR. NPPES has assigned the NPI number 1730051087 to FITSUM AKLILU on September 18, 2025. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FITSUM AKLILU below.

NPI Profile for
FITSUM A. AKLILU

NPI Number
1730051087
Enumeration Date

(about 9 months ago)
Entity Type
Type-1  Individual (Male)
Legal Name
FITSUM A. AKLILU
Primary location
11762 SE MARKET DR
CLACKAMAS, OR 97015-8674
Phone: (971) 331-0569 Fax: (503) 698-5568
Mailing address
12446 SE EAGLE GLEN DR
HAPPY VALLEY, OR 97086-6499
Phone: (971) 331-0569 Fax: (503) 698-5568
Sole Proprietor
Yes
Updated
Certification Date
Sep 17, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)
OR

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.