ABDURAKHMON RADZHABOV

LAKE OSWEGO, OR
NPI1740971878
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy311ZA0620X Custodial Care Facility, Adult Care Home
(Licence: OR  519252)
Enumeration Date2023-05-18
Last Update Date2023-05-18
Business Address
ABDURAKHMON RADZHABOV
16940 TRACY AVE
LAKE OSWEGO, OR 97035-4558
Phone number: 551-258-7270
Mailing Address
ABDURAKHMON RADZHABOV
16940 TRACY AVE
LAKE OSWEGO, OR 97035-4558
Phone number: 551-258-7270