NPI 1205682218

Thomas K Mutai

Practitioner Foster Care Agency Portland, OR

Practice location

Address: 16930 SE Kelly St, Portland, OR 97236-1432
Phone: (785) 861-0023
Fax: (607) 600-2230

Registered specialties

Foster Care Agency Primary

Agencies Taxonomy 253J00000X Licence DD687301 (OR)

Other Foster Care Agency providers in Oregon →

Registry record

NPI: 1205682218
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Apr 2024
Record last updated: 29 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.