SearchOregonAdult Care Home Facility

Dastu Ahmat

NPI 1346707296 · on the registry since 2019 · sole proprietor

Practice

Address
55 Nw 23rd St
Gresham, OR 97030
Phone
(503) 984-6216

Registry record

Primary taxonomy
Adult Care Home Facility
311ZA0620X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-02-27

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