Aging and People with Disabilities
Safety, Oversight and Quality
Print Provider: Nicholas Samuel Estibar
Provider Information
Nicholas Samuel Estibar
2030 Northeast 159th Avenue
Portland, OR 97230
- Provider ID
- 0000000543
- Administrator
- Nicholas Estibar
- Phone
- (503) 954-2555
Additional Provider Details
- ID
- 0000000543
- Status
- Open
- Type
- Adult Foster Home
- Classification
- 2
- 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.