Individual
EJEGAYEHU MULUNEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
830 SE 214TH AVE, GRESHAM, OR 97030-3424
(503) 984-8217
Mailing address
830 SE 214TH AVE, GRESHAM, OR 97030-3424
(503) 984-8217
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
OR
Other
Enumeration date
06/02/2026
Last updated
06/02/2026
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