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TADESSE MOJO
Intellectual and/or Developmental Disabilities Residential Treatment Facility
NPI: 1316830102Individual
Specialties, Licenses & Credentials
Residential Treatment Facility, Physical Disabilities
Code: 320700000X
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Code: 320900000X
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Code: 320600000X
Contact & Hours
- Address
- 7980 SW GREENHOUSE LN
PORTLAND, OR 97225 - Phone
- (971) 224-9404
Quick Facts
- NPI
- 1316830102
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 3
- Locations
- 1
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