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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TESFAYE GOMALO

Active Sole Proprietor

TESFAYE GOMALO is a Psychiatric Residential Treatment Facility healthcare provider located in SALEM, Oregon. NPI 1255299749 is currently active in the NPPES registry. Verify at CMS.

Psychiatric Residential Treatment Facility · SALEM, OR

Registration Details

NPI Number
1255299749
Provider Type
Individual
Gender
Male
NPI Issued
Jan 13, 2026 (0.61451822985991 yrs)
Last Updated
Jan 13, 2026
License
RTH100295 (OR)
Sole Proprietor
Yes

Practice Information

Address
4436 JADE ST NE
SALEM, OR, 973052233
Browse OR providers · Browse ZIP 97305
Phone
9712586432

Other Psychiatric Residential Treatment Facility Providers in SALEM, OR

Name Credential NPI
AILEEN NJOROGE 1285167072
SITATE GELGELU RN 1336939438
EMELDA WANJIRU NANCE 1811885031
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.