Individual
FEVEN MAMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10936 SE WOOD AVE, MILWAUKIE, OR 97222-4552
(503) 344-4735
(503) 344-4936
Mailing address
10936 SE WOOD AVE, MILWAUKIE, OR 97222-4552
(503) 344-4735
(503) 344-4936
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
AFH100270
OR
Other
Enumeration date
11/07/2025
Last updated
11/07/2025
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