MARTIN MBUTHIA KIMITA

PORTLAND, OR
NPI1588483168
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy323P00000X Psychiatric Residential Treatment Facility
Enumeration Date2024-10-09
Last Update Date2024-10-09
Business Address
MARTIN MBUTHIA KIMITA
14512 SE FOSTER RD
PORTLAND, OR 97236-4324
Phone number: 781-534-1079
Mailing Address
MARTIN MBUTHIA KIMITA
15216 SE BEVINGTON AVE
MILWAUKIE, OR 97267-3354
Phone number: 781-534-1079