Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

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Print Provider: Frederick Carl Asa

Provider Information


Frederick Carl Asa

3315 Northeast 5th Street
Gresham, OR 97030

Provider ID
517942
Administrator
Frederick Asa
Phone
(503) 674-5149
Email
blest_smoke@yahoo.com

Additional Provider Details


ID
517942
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.