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Organization
AMANO INC
Active
Organization
AMANO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOHAMED ABDULKADIR (DIRECTOR)
(503) 660-2452
Entity
Organization
Contact information
Practice address
4495 REDINGER CT S, SALEM, OR 97302-2423
(503) 660-2452
Mailing address
4596 SW 156TH AVE, BEAVERTON, OR 97078-2674
(503) 660-2452
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
NULL
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
NULL
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
320800000X
Mental Illness Community Based Residential Treatment Facility
—
NULL
Other
Enumeration date
01/07/2022
Last updated
01/07/2022
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