Individual
KALKIDAN G EZRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13325 ROSEBERRY AVE, OREGON CITY, OR 97045-4239
(503) 303-7685
(503) 908-8401
Mailing address
13325 ROSEBERRY AVE, OREGON CITY, OR 97045-4239
(503) 303-7685
(503) 908-8401
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
03/03/2022
Last updated
03/03/2022
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