Individual
MARY WANJOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4540 SE MASON HILL DR, MILWAUKIE, OR 97222-4900
(651) 800-5524
Mailing address
4540 SE MASON HILL DR, MILWAUKIE, OR 97222-4900
(651) 800-5524
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
OR
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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