Tesfaye Gomalo
Tesfaye Gomalo is a Mental Illness Community Based Residential Treatment Facility in Salem, Oregon. Practices as a sole proprietor. Licensed in Oregon.
- Licensed in
- OR
- In the registry since
- 2026
Practice location Address checks out
4436 Jade St NESalem, OR 97305-2233
Phone: (971) 258-6432
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Specialties & licences
| Mental Illness Community Based Residential Treatment Facility (primary) | Taxonomy 320800000X · Licence RTH100295 (OR) |
|---|
Record details
| NPI number | 1255299749 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 13, 2026 |
| Last updated in NPPES | January 13, 2026 |
| Certification date | January 13, 2026 |
| Mailing address | 4436 Jade St Ne, Salem, OR 97305-2233 |
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