Individual
MR. GETACHEW ABULE GODEBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16221 SE VINEYARD LN, MILWAUKIE, OR 97267-4720
(971) 369-2990
Mailing address
16221 SE VINEYARD LN, MILWAUKIE, OR 97267-4720
(971) 369-2990
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/26/2025
Last updated
08/26/2025
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