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Search › Oregon › Mental Illness Community Based Residential Treatment Facility

Tesfaye Gomalo

NPI 1255299749 · on the registry since 2026 · sole proprietor

Practice

Address
4436 Jade St Ne
Salem, OR 97305
Phone
(971) 258-6432
Organisation at this address
Family Residential Treatment Home
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
Mental Illness Community Based Residential Treatment Facility
320800000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-01-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon