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Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Print Provider: Stacey Coonrod

Provider Information

Stacey Coonrod

2470 SW BALSAM AVE
Beaverton, OR 97005

Provider ID: 523208
Administrator: COONROD STACEY
Phone: (503) 260-9491
Email: staceylcoonrod@yahoo.com

Additional Provider Details

ID: 523208
Status: Open
Type: Adult Foster Home
Classification: 0
Licensed beds: 1
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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