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Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Print Provider: David Nicholas Thomas

Provider Information

David Nicholas Thomas

12722 Southeast Mill Court
Portland, OR 97233

Provider ID: 11510
Administrator: David Thomas
Phone: (503) 206-8630
Email: david-nick-thomas@hotmail.com

Additional Provider Details

ID: 11510
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.

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