Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Provider: Ataklti Andemariam Samuel

Provider Information


Ataklti Andemariam Samuel

15915 Northeast Glisan Street
Portland, OR 97230

Provider ID
526499
Administrator
Samuel Andemariam
Phone
(503) 252-6419
Email
neiyat25@gmail.com

Additional Provider Details


ID
526499
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.