TESFAYE GOMALO
Community Based Residential Treatment Facility, Mental Illness
Active
Individual
NPI: 1255299749
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Community Based Residential Treatment Facility, Mental Illness | 320800000X | Yes | RTH100295 (OR) |
Frequently Asked Questions
NPI 1255299749 is the National Provider Identifier for TESFAYE GOMALO, a Community Based Residential Treatment Facility, Mental Illness provider located in Salem, OR. This NPI was enumerated on January 13, 2026.
TESFAYE GOMALO practices at 4436 JADE ST NE, Salem, OR 97305.
Quick Facts
- NPI
- 1255299749
- Type
- Individual
- Enumerated
- Jan 13, 2026
- Last Updated
- Jan 13, 2026
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