Organization
FELICIFICARE DOMUS SALUTIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEMECHIS G ABDISSA PMHNP CANDIDATE (CEO)
(971) 431-6436
Entity
Organization
Contact information
Practice address
11125 NE SANDY BLVD, PORTLAND, OR 97220-2555
(971) 431-6436
Mailing address
11125 NE SANDY BLVD, PORTLAND, OR 97220-2555
(971) 431-6436
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
09/10/2024
Last updated
12/15/2025
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