Individual
MERON TESHOME MENGESHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17305 CRAIG CT, GLADSTONE, OR 97027-1268
(971) 430-5508
Mailing address
17305 CRAIG CT, GLADSTONE, OR 97027-1268
(971) 430-5508
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
OR
Other
Enumeration date
01/28/2026
Last updated
01/28/2026
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