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1538924998
TIRSTE WOSENU
PORTLAND, OR
NPI
1538924998
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
311ZA0620X Custodial Care Facility, Adult Care Home
(Licence: OR DZ1494)
Enumeration Date
2024-02-15
Last Update Date
2024-02-15
Business Address
TIRSTE WOSENU
3056 NE 127TH AVE
PORTLAND, OR 97230-1621
Phone number: 614-684-8672
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Mailing Address
TIRSTE WOSENU
3056 NE 127TH AVE
PORTLAND, OR 97230-1621
Phone number: 614-684-8672
Copy
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