Baseti Gelgelu
Baseti Gelgelu is an Adult Care Home Facility in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.
- Licensed in
- OR
- In the registry since
- 2020
Practice location Address checks out
2055 SW 79th AvePortland, OR 97225-3805
Phone: (206) 306-3730
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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 · Licence 525603 (OR) |
|---|
Record details
| NPI number | 1801403910 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 23, 2020 |
| Last updated in NPPES | September 23, 2020 |
| Certification date | September 23, 2020 |
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