Organization
OREGON FAMILY CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABRAHAM G MERESSA PROVIDER (DIRECTOR)
(503) 572-8705
Entity
Organization
Contact information
Practice address
1904 SE 148TH AVE, PORTLAND, OR 97233-2727
(503) 572-8705
Mailing address
1904 SE 148TH AVE, PORTLAND, OR 97233-2727
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
10/01/2021
Last updated
10/01/2021
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