Individual
ZELDAH MUTHONI KIGOTHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
340 NE 19TH ST, GRESHAM, OR 97030-4006
(253) 880-9397
Mailing address
340 NE 19TH ST, GRESHAM, OR 97030-4006
(253) 880-9397
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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