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1720829898
ELIJAH KARANJA
PORTLAND, OR
NPI
1720829898
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
320800000X Community Based Residential Treatment Facility, Mental Illness
(Licence: OR RTF100092)
Enumeration Date
2024-06-03
Last Update Date
2024-07-30
Business Address
ELIJAH KARANJA
526 SE 128TH AVE
PORTLAND, OR 97233-1602
Phone number: 503-810-7879
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Mailing Address
ELIJAH KARANJA
526 SE 128TH AVE
PORTLAND, OR 97233-1602
Phone number: 503-810-7879
Copy
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