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NPI Profile for TADESSE M MOJO in PORTLAND, OR.
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
| NPI # | 1316830102 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 05/30/2025 | |
| Last updated | 06/08/2025 - About 12 months ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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TADESSE M MOJO
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TADESSE M MOJO