Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Provider: Ezekiel Kamonjo

Provider Information


Ezekiel Kamonjo

3780 SW 102ND AVE
Beaverton, OR 97005

Provider ID
2388635834
Administrator
Ezekiel Kamonjo
Phone
(503) 430-1662
Email
pacifichope19707@gmail.com

Additional Provider Details


ID
2388635834
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.