Individual provider · Type 1 NPI
Tadesse Melka Mojo
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Portland, OR
Practice location
7980 SW Greenhouse Ln
Portland, OR 97225-3868
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Disabilities Residential Treatment Facility | 320700000X | None listed |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | None listed |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | None listed |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
Another provider at this address
Other intellectual and/or developmental disabilities residential treatment facility providers in Portland
About NPI 1316830102
Tadesse Melka Mojo's National Provider Identifier is 1316830102, issued on May 30, 2025. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Portland, OR. The record was last updated on Jun 8, 2025.