Dastu I Ahmat
Dastu I Ahmat is an Adult Care Home Facility in Gresham, Oregon. Practices as a sole proprietor. Licensed in Oregon.
- Licensed in
- OR
- In the registry since
- 2019
Practice location Address checks out
55 NW 23rd StGresham, OR 97030-2640
Phone: (503) 984-6216
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Care Home Facility (primary) | Taxonomy 311ZA0620X · Licence 11146 (OR) |
|---|
Record details
| NPI number | 1346707296 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 27, 2019 |
| Last updated in NPPES | February 27, 2019 |
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