IndividualActive
Maru Genemo
NPI 1063193464 · Foster Care Agency · Portland, OR
Provider details
- NPI number
- 1063193464
- Entity type
- Individual
- Primary specialty
- Foster Care AgencyAgencies
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Agencies
Practice location
8060 Sw Greenhouse Ln
Portland, OR 97225-3869
Phone: (240) 432-2374
Approximate (ZIP-level) locationGet directions
Mailing address
8060 Sw Greenhouse Ln
Portland, OR 97225-3869
Registry dates
- Enumerated
- 2023-07-27
- Last updated
- 2023-07-27
- Certified
- 2023-07-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.