Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Thomas K Mutai

Individual provider Foster Care Agency · NPI 1205682218

Thomas K Mutai is a Foster Care Agency in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2024

Practice location Address checks out

16930 SE Kelly St
Portland, OR 97236-1432
Phone: (785) 861-0023
Fax: (607) 600-2230
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foster Care Agency (primary) Taxonomy 253J00000X · Licence DD687301 (OR)

Record details

NPI number1205682218
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 29, 2024
Last updated in NPPESApril 29, 2024
Certification dateApril 29, 2024
Mailing address16930 Se Kelly St, Portland, OR 97236-1432

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