Thomas K Mutai

NPI #1205682218 in Portland, Oregon

Provider Information

NPI Number: 1205682218
Entity Type: Individual
Name: Thomas K Mutai
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Foster Care Agency
Enumeration Date: Apr 29, 2024
Last Updated: Apr 29, 2024

Practice Location

Address: 16930 SE KELLY ST
City: Portland
State: Oregon
ZIP Code: 97236-1432
Phone: (785) 861-0023

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Foster Care Agency	253J00000X	Primary

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