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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

Quick Facts

NPI
1316830102
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
3
Locations
1

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