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Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Print Provider: Ricamarie Custodio Martija

Provider Information

Ricamarie Custodio Martija

18120 Southeast Main Street
Portland, OR 97233

Provider ID: 528969
Administrator: Ricamarie Martija
Phone: (503) 719-6634
Email: konsehalarica12@yahoo.com

Additional Provider Details

ID: 528969
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.

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