TESFAYE GOMALO

SALEM, OR
NPI1255299749
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy320800000X Community Based Residential Treatment Facility, Mental Illness
(Licence: OR  RTH100295)
Enumeration Date2026-01-13
Last Update Date2026-01-13
Business Address
TESFAYE GOMALO
4436 JADE ST NE
SALEM, OR 97305-2233
Phone number: 971-258-6432
Mailing Address
TESFAYE GOMALO
4436 JADE ST NE
SALEM, OR 97305-2233
Phone number: 971-258-6432
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