BASETI GELGELU

PORTLAND, OR
NPI1801403910
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy311ZA0620X Custodial Care Facility, Adult Care Home
(Licence: OR  525603)
Enumeration Date2020-09-23
Last Update Date2020-09-23
Business Address
BASETI GELGELU
2055 SW 79TH AVE
PORTLAND, OR 97225-3805
Phone number: 206-306-3730
Mailing Address
BASETI GELGELU
2055 SW 79TH AVE
PORTLAND, OR 97225-3805
Phone number: 206-306-3730
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