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Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Print Provider: Henok Alula Demissie

Provider Information

Henok Alula Demissie

2609 Southeast 164th Avenue
Portland, OR 97236

Provider ID: 11534
Administrator: Henok Demissie
Phone: (503) 719-5578
Email: henokdemissi@gmail.com

Additional Provider Details

ID: 11534
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.

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