SearchOregonAdult Care Home Facility

Aleksandr Bahmatov

NPI 1366277642 · on the registry since 2024 · sole proprietor

Practice

Address
17821 Se Arista Dr
Milwaukie, OR 97267
Phone
(971) 386-8671

Registry record

Primary taxonomy
Adult Care Home Facility
311ZA0620X
Also registered as
Foster Care Agency
Assisted Living Facility (Mental Illness)
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Mental Illness Community Based Residential Treatment Facility
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-09-05

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