Aging and People with Disabilities
Safety, Oversight and Quality
Print Provider: Kimberly Anne Petersen
Provider Information
Kimberly Anne Petersen
14845 Northwest Bonneville Loop
Beaverton, OR 97006
- Provider ID
- 0000000216
- Administrator
- Kimberly Anne Petersen
- Phone
- (503) 626-9446
- wildwade38@yahoo.com
Additional Provider Details
- ID
- 0000000216
- Status
- Open
- Type
- Adult Foster Home
- Classification
- 3
- Licensed beds
- 5
- Accepts Medicaid
- Yes
- Memory Care
- No
If you have questions about this provider or its inspection and compliance history, please contact the provider at the phone number listed above.