# AMANO INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689335002
- **Authorized official:** MR. MOHAMED ABDULKADIR (DIRECTOR)
- **Authorized official phone:** (503) 660-2452

## Contact information

- **Practice address:** 4495 REDINGER CT S, SALEM, OR 97302-2423
- **Practice address phone:** (503) 660-2452
- **Mailing address:** 4596 SW 156TH AVE, BEAVERTON, OR 97078-2674
- **Mailing address phone:** (503) 660-2452

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 3104A0630X | Assisted Living Facility (Behavioral Disturbances) | — | NULL | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |
| 320800000X | Mental Illness Community Based Residential Treatment Facility | — | NULL | — |

## Other

- **Enumeration date:** 01/07/2022
- **Last updated:** 01/07/2022
