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1588483168
MARTIN MBUTHIA KIMITA
PORTLAND, OR
NPI
1588483168
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
323P00000X Psychiatric Residential Treatment Facility
Enumeration Date
2024-10-09
Last Update Date
2024-10-09
Business Address
MARTIN MBUTHIA KIMITA
14512 SE FOSTER RD
PORTLAND, OR 97236-4324
Phone number: 781-534-1079
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Mailing Address
MARTIN MBUTHIA KIMITA
15216 SE BEVINGTON AVE
MILWAUKIE, OR 97267-3354
Phone number: 781-534-1079
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