Aleksandr Bahmatov
Aleksandr Bahmatov is a Foster Care Agency in Milwaukie, Oregon. Practices as a sole proprietor. Licensed in Oregon.
- Licensed in
- OR
- In the registry since
- 2024
- Specialties on file
- 5
Practice location Address checks out
17821 SE Arista DrMilwaukie, OR 97267-6036
Phone: (971) 386-8671
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Care Home Facility (primary) | Taxonomy 311ZA0620X (OR) |
|---|---|
| Foster Care Agency | Taxonomy 253J00000X |
| Assisted Living Facility (Mental Illness) | Taxonomy 3104A0625X |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | Taxonomy 320600000X |
| Mental Illness Community Based Residential Treatment Facility | Taxonomy 320800000X |
Record details
| NPI number | 1366277642 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Not disclosed |
| Sole proprietor | Yes |
| NPI enumerated | September 5, 2024 |
| Last updated in NPPES | September 5, 2024 |
| Certification date | September 5, 2024 |
| Mailing address | 17821 Se Arista Dr, Milwaukie, OR 97267-6036 |
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