Individual
MARU GENEMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8060 SW GREENHOUSE LN, PORTLAND, OR 97225-3869
(240) 432-2374
Mailing address
8060 SW GREENHOUSE LN, PORTLAND, OR 97225-3869
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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