*This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*

MULTNOMAH COUNTY Department of County Human Services

Adult Care Home Program ACHP HOME REGISTRY Report Date 9/20/2021

Selection: Population: Aging and People with Disabilities Category: Adult Care Home Payment Type: Private Pay and Medicaid Classification: APD - Class 0; APD - Class 1; APD - Class 2; APD - Class 3; APD - Class 3 - Vent C; APD - Class 3 - Vent B; APD - Class 3 - Vent A

Zip Code: 97009; 97019; 97024; 97030; 97060; 97080; 97086; 97201; 97202; 97203; 97204; 97205; 97206; 97207; 97209; 97210; 97211; 97212; 97213; 97214; 97215; 97216; 97217; 97218; 97219; 9722097221; 97227; 97230; 97231; 97232; 97233; 97236; 97239; 97266

License # Provider # Operator Expire Date Classification Capacity 11354 528671 Abebe, Fikirte Getachew 10/19/2021 ACH - APD - Class 3 4 12026 SE Pardee St Portland OR 97266 (503) 719-5158 11067 526161 Abebe, Yeshihareg Tesfaye 05/26/2022 ACH - APD - Class 3 5 3024 SE 129th Ave Portland OR 97236 (503) 894-9739 Resident Mgr: Rosanta Dulay Galarde

11035 525834 Abraha, Tirhas Sultan 10/31/2020 ACH - APD - Class 3 5 919 NE 172ND AVE GRESHAM OR 97230 (971) 271-7577 11318 528458 Abraham, Nebiat 03/25/2021 ACH - APD - Class 3 5 6556 SE 131st Ave Portland OR 97236 (503) 256-7724 11121 526847 Abu, Nigatuwa Geleto 03/07/2021 ACH - APD - Class 3 5 3533 SE 160th Ave Portland OR 97236 (503) 764-9563 11327 555555 Anchidin, Jason Daniel 05/28/2021 ACH - APD - Class 2 5 5191 SE Powell Valley Road Gresham OR 97080 (503) 912-1109 2462 511120 Anchidin, Maria 06/17/2022 ACH - APD - Class 3 5 1250 NE Cochran Dr Gresham OR 97030 (503) 665-1096 10230 515020 Andreica, Elena 04/13/2021 ACH - APD - Class 3 5

Prepared by DCHS-IT, Helpdesk extension 84357 Page 1 of 50 *This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*

MULTNOMAH COUNTY Department of County Human Services

Adult Care Home Program ACHP HOME REGISTRY Report Date 9/20/2021

Selection: Population: Aging and People with Disabilities Category: Adult Care Home Payment Type: Private Pay and Medicaid Classification: APD - Class 0; APD - Class 1; APD - Class 2; APD - Class 3; APD - Class 3 - Vent C; APD - Class 3 - Vent B; APD - Class 3 - Vent A

Zip Code: 97009; 97019; 97024; 97030; 97060; 97080; 97086; 97201; 97202; 97203; 97204; 97205; 97206; 97207; 97209; 97210; 97211; 97212; 97213; 97214; 97215; 97216; 97217; 97218; 97219; 9722097221; 97227; 97230; 97231; 97232; 97233; 97236; 97239; 97266

License # Provider # Operator Expire Date Classification Capacity 1601 NE 156th Ave Portland OR 97230 (503) 257-4714 Resident Mgr: Daniela Nitu

10580 520953 Andriuta, Alexandra 09/30/2020 ACH - APD - Class 3 4 7710 SE 103rd Ave Portland OR 97266 (503) 777-1696 10736 523967 Anotta, Morry Alaka 09/23/2020 ACH - APD - Class 2 5 29 NE 125th Pl Portland OR 97230 (503) 252-0400 10981 525554 Araneta, Crissel Anne Monicayo 01/21/2022 ACH - APD - Class 2 5 8509 SW 45th Ave Portland OR 97219 (503) 244-1241 Resident Mgr: Maila Pasgual Yalong

11066 526197 Araneta, Mark Michael 05/18/2021 ACH - APD - Class 2 5 14947 SE Mill St Portland OR 97233 (503) 762-7588 Resident Mgr: Elizabeth Jennifer Woodruff

10304 515904 Aron, Ioana 02/05/2021 ACH - APD - Class 2 5 311 NE 106th Ave Portland OR 97220 (503) 255-2080

10576 500686 Asa, Elizabeth Celis 09/13/2021 ACH - APD - Class 2 5 1232 SE 282nd Ave Gresham OR 97080 (503) 489-5829

Prepared by DCHS-IT, Helpdesk extension 84357 Page 2 of 50 *This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*

MULTNOMAH COUNTY Department of County Human Services

Adult Care Home Program ACHP HOME REGISTRY Report Date 9/20/2021

Selection: Population: Aging and People with Disabilities Category: Adult Care Home Payment Type: Private Pay and Medicaid Classification: APD - Class 0; APD - Class 1; APD - Class 2; APD - Class 3; APD - Class 3 - Vent C; APD - Class 3 - Vent B; APD - Class 3 - Vent A

Zip Code: 97009; 97019; 97024; 97030; 97060; 97080; 97086; 97201; 97202; 97203; 97204; 97205; 97206; 97207; 97209; 97210; 97211; 97212; 97213; 97214; 97215; 97216; 97217; 97218; 97219; 9722097221; 97227; 97230; 97231; 97232; 97233; 97236; 97239; 97266

License # Provider # Operator Expire Date Classification Capacity 10434 517942 Asa, Frederick Carl 12/19/2021 ACH - APD - Class 2 5 3315 NE 5th St Gresham OR 97030 (503) 674-5149

11117 526706 Asa, JR, William King 03/01/2021 ACH - APD - Class 2 5 14707 SE Mill St Portland OR 97233 (503) 254-6424

2451 511361 Asa, William Torralba 04/30/2022 ACH - APD - Class 2 5 1724 SE 138th Ave Portland OR 97233 (503) 262-8520

11063 526149 Asfaha, Alganesh Weldegbreal 05/12/2022 ACH - APD - Class 2 5 3434 NE 130TH AVENUE PORTLAND OR 97230 (503) 719-7480 11212 527727 Asfaw, Aberash Tadesse 08/28/2021 ACH - APD - Class 3 3 1620 NE Country Club Ave Gresham OR 97030 (971) 274-3838 11153 527054 Asfaw, Ermias Abebe 10/09/2020 ACH - APD - Class 2 5 1903 NE 116th Place Portland OR 97220 (503) 954-3785 2474 511465 Avram, Maria Lenuta 07/30/2021 ACH - APD - Class 3 5 2120 NE 132nd Ave Portland OR 97230 (503) 254-8999 Resident Mgr: Gheorghe Avram

11345 528631 Ayana, Hawi Gelta 09/01/2021 ACH - APD - Class 2 3

Prepared by DCHS-IT, Helpdesk extension 84357 Page 3 of 50 *This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*

MULTNOMAH COUNTY Department of County Human Services

Adult Care Home Program ACHP HOME REGISTRY Report Date 9/20/2021

Selection: Population: Aging and People with Disabilities Category: Adult Care Home Payment Type: Private Pay and Medicaid Classification: APD - Class 0; APD - Class 1; APD - Class 2; APD - Class 3; APD - Class 3 - Vent C; APD - Class 3 - Vent B; APD - Class 3 - Vent A

Zip Code: 97009; 97019; 97024; 97030; 97060; 97080; 97086; 97201; 97202; 97203; 97204; 97205; 97206; 97207; 97209; 97210; 97211; 97212; 97213; 97214; 97215; 97216; 97217; 97218; 97219; 9722097221; 97227; 97230; 97231; 97232; 97233; 97236; 97239; 97266

License # Provider # Operator Expire Date Classification Capacity 4145 NE 135th Ave Portland OR 97230 (503) 255-1425 1735 514073 Babalai, Daniela 05/20/2021 ACH - APD - Class 3 5 1543 NE 137th Ave Portland OR 97230 (503) 251-4994 Resident Mgr: Carolyn Donato Romero

11010 523264 Bahnean, Ligia Sunamita 07/12/2021 ACH - APD - Class 3 5 11375 SW CAPITOL HWY PORTLAND OR 97219 (503) 719-4897 10268 515264 Banut, Alina 07/26/2020 ACH - APD - Class 2 5 1437 SE 174th Ave Portland OR 97233 (503) 760-4017 11312 528405 Barsaga, Aileen Barallas 01/07/2021 ACH - APD - Class 3 5 1827 SE 76th Ave Portland OR 97215 (503) 771-2162 Resident Mgr: Norma Jasmina Pulanco

10322 515967 Baxter Miclaus, Magdalena Luminita 02/28/2021 ACH - APD - Class 3 5 6332 SW Haines St Portland OR 97219 (503) 244-1503 Resident Mgr: James William Baxter, JR

11058 526101 Bec, Mihaela 04/19/2022 ACH - APD - Class 3 5 533 SE Paropa Pl Gresham OR 97080 (503) 666-5319

Prepared by DCHS-IT, Helpdesk extension 84357 Page 4 of 50 *This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*

MULTNOMAH COUNTY Department of County Human Services

Adult Care Home Program ACHP HOME REGISTRY Report Date 9/20/2021

Selection: Population: Aging and People with Disabilities Category: Adult Care Home Payment Type: Private Pay and Medicaid Classification: APD - Class 0; APD - Class 1; APD - Class 2; APD - Class 3; APD - Class 3 - Vent C; APD - Class 3 - Vent B; APD - Class 3 - Vent A

Zip Code: 97009; 97019; 97024; 97030; 97060; 97080; 97086; 97201; 97202; 97203; 97204; 97205; 97206; 97207; 97209; 97210; 97211; 97212; 97213; 97214; 97215; 97216; 97217; 97218; 97219; 9722097221; 97227; 97230; 97231; 97232; 97233; 97236; 97239; 97266

License # Provider # Operator Expire Date Classification Capacity 2464 513464 Beke, Lidia 06/16/2021 ACH - APD - Class 3 5 8737 NE Fremont St Portland OR 97220 (503) 256-6490

2006 504108 Benzar, Lydia 04/15/2022 ACH - APD - Class 2 5 1715 NE 155th Ave Portland OR 97230 (503) 261-1197

11333 528555 Berhe, Natsnet Kidane 06/28/2021 ACH - APD - Class 2 5 10422 NE Ashante Dr Portland OR 97211 (503) 206-4523

1949 502387 Bernat, Lidia 10/14/2020 ACH - APD - Class 3 5 16808 NE Hassalo St Portland OR 97230 (503) 257-0432 10429 518395 Blotor, Felicia Elena 08/09/2022 ACH - APD - Class 2 5 15550 SE Yamhill St Portland OR 97233 (503) 254-4890 1870 502169 Bodale, Ileana Lu 08/03/2021 ACH - APD - Class 3 5 16704 SE Mill St Portland OR 97233 (971) 279-5165 10382 513228 Bohanon, Chona Wachayna 01/07/2021 ACH - APD - Class 3 4 4047 SE 5th St Gresham OR 97080 (503) 665-4689 10484 518169 Bone, Laura 03/09/2021 ACH - APD - Class 2 5 1349 NE 196th Ave Portland OR 97230

Prepared by DCHS-IT, Helpdesk extension 84357 Page 5 of 50 *This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*

MULTNOMAH COUNTY Department of County Human Services

Adult Care Home Program ACHP HOME REGISTRY Report Date 9/20/2021

Selection: Population: Aging and People with Disabilities Category: Adult Care Home Payment Type: Private Pay and Medicaid Classification: APD - Class 0; APD - Class 1; APD - Class 2; APD - Class 3; APD - Class 3 - Vent C; APD - Class 3 - Vent B; APD - Class 3 - Vent A

Zip Code: 97009; 97019; 97024; 97030; 97060; 97080; 97086; 97201; 97202; 97203; 97204; 97205; 97206; 97207; 97209; 97210; 97211; 97212; 97213; 97214; 97215; 97216; 97217; 97218; 97219; 9722097221; 97227; 97230; 97231; 97232; 97233; 97236; 97239; 97266

License # Provider # Operator Expire Date Classification Capacity (503) 661-4262 10012 511813 Borcea, Gheorghe 10/09/2020 ACH - APD - Class 2 4 9757 SE Boise St Portland OR 97266 (503) 760-6511 10407 517335 Borlovan, Adela 05/31/2021 ACH - APD - Class 2 5 1202 SW 57th Ave Portland OR 97221 (503) 243-5300 Resident Mgr: Simona Borlovan

11183 527428 Bortes, Lidia 03/21/2021 ACH - APD - Class 2 5 13501 NE Halsey St Portland OR 97230 (503) 252-2512 10402 516993 Boyd, Neal Adrian 02/05/2021 ACH - APD - Class 2 5 1725 NW Division St Gresham OR 97030 (503) 665-6139 Resident Mgr: Pearla Amodo Boyd

10146 514205 Bradea, Daniel Samuel 06/18/2020 ACH - APD - Class 2 5 1122 SW Stephenson St Portland OR 97219 (503) 245-9800 2109 504986 Brazovan, Reta Lia 12/13/2021 ACH - APD - Class 2 5 2355 SE 137th Ave Portland OR 97233 (503) 762-1992 1978 549704 Brodeanu, Ana 12/20/2021 ACH - APD - Class 3 5 2106 NE 132nd Ave Portland OR 97230

Prepared by DCHS-IT, Helpdesk extension 84357 Page 6 of 50 *This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*

MULTNOMAH COUNTY Department of County Human Services

Adult Care Home Program ACHP HOME REGISTRY Report Date 9/20/2021

Selection: Population: Aging and People with Disabilities Category: Adult Care Home Payment Type: Private Pay and Medicaid Classification: APD - Class 0; APD - Class 1; APD - Class 2; APD - Class 3; APD - Class 3 - Vent C; APD - Class 3 - Vent B; APD - Class 3 - Vent A

Zip Code: 97009; 97019; 97024; 97030; 97060; 97080; 97086; 97201; 97202; 97203; 97204; 97205; 97206; 97207; 97209; 97210; 97211; 97212; 97213; 97214; 97215; 97216; 97217; 97218; 97219; 9722097221; 97227; 97230; 97231; 97232; 97233; 97236; 97239; 97266

License # Provider # Operator Expire Date Classification Capacity (503) 254-4598 1251 550244 Broyles, Rick Lynn 01/31/2021 ACH - APD - Class 2 5 3902 NE 109th Ave Portland OR 97220 (503) 255-7180 11087 526388 Bucur, Lavinia 08/29/2020 ACH - APD - Class 3 5 12411 SE Market St Portland OR 97233 (503) 255-4121 1075 525389 Campean, Maria Magdelena 12/05/2021 ACH - APD - Class 3 5 12402 NE Hassalo St Portland OR 97230 (503) 255-9639 Resident Mgr: Iosif Viorel Campean

1537 572920 Capatina, Otilia 09/15/2020 ACH - APD - Class 3 4 2704 SE 121st Ave Portland OR 97266 (503) 760-7285 10050 512760 Catuna, Elena 04/30/2022 ACH - APD - Class 2 5 3768 SE 21st Dr Gresham OR 97080 (503) 491-0383 2178 507133 Cazan, Daniel Sabin 09/01/2020 ACH - APD - Class 2 5 11242 NE Shaver St Portland OR 97220 (503) 252-2899 10211 507420 Cernatescu, Dorina Florina 01/01/2021 ACH - APD - Class 3 5 3557 SW 2nd St Gresham OR 97030 (503) 665-5865

Prepared by DCHS-IT, Helpdesk extension 84357 Page 7 of 50 *This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*

MULTNOMAH COUNTY Department of County Human Services

Adult Care Home Program ACHP HOME REGISTRY Report Date 9/20/2021

Selection: Population: Aging and People with Disabilities Category: Adult Care Home Payment Type: Private Pay and Medicaid Classification: APD - Class 0; APD - Class 1; APD - Class 2; APD - Class 3; APD - Class 3 - Vent C; APD - Class 3 - Vent B; APD - Class 3 - Vent A

Zip Code: 97009; 97019; 97024; 97030; 97060; 97080; 97086; 97201; 97202; 97203; 97204; 97205; 97206; 97207; 97209; 97210; 97211; 97212; 97213; 97214; 97215; 97216; 97217; 97218; 97219; 9722097221; 97227; 97230; 97231; 97232; 97233; 97236; 97239; 97266

License # Provider # Operator Expire Date Classification Capacity 11218 527722 Chege, Catherine Wairimu 10/21/2020 ACH - APD - Class 2 5 16726 SE Mill Street Portland OR 97233 (503) 954-3859

2141 505612 Cherokee, Magdalena 06/16/2022 ACH - APD - Class 3 5 12031 SE Kelly St Portland OR 97266 (503) 762-9003

2100 504625 Chis, Mircea Marin 01/06/2021 ACH - APD - Class 2 5 9233 SE Mill St Portland OR 97216 (503) 255-6899 Resident Mgr: Zachariah Chis

10928 525102 Cinpean, Jason Horatiu 05/07/2022 ACH - APD - Class 3 5 2695 SW 24th St Gresham OR 97080 (503) 328-9506 11142 527118 Circota, Aureliana Mihaela 08/29/2020 ACH - APD - Class 2 5 4711 SW SHATTUCK RD PORTLAND OR 97221 (503) 946-8164 10411 515253 Ciurar, Dorina 04/26/2022 ACH - APD - Class 2 5 1354 SE 162nd Ave Portland OR 97233 (503) 257-2294 11205 527591 Clevinger, Cheryll Narciso 08/01/2021 ACH - APD - Class 1 5 16560 SE Mill Street Portland OR 97233 (503) 841-5088 Resident Mgr: Dennis Rillera Narciso

Prepared by DCHS-IT, Helpdesk extension 84357 Page 8 of 50 *This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*

MULTNOMAH COUNTY Department of County Human Services

Adult Care Home Program ACHP HOME REGISTRY Report Date 9/20/2021

Selection: Population: Aging and People with Disabilities Category: Adult Care Home Payment Type: Private Pay and Medicaid Classification: APD - Class 0; APD - Class 1; APD - Class 2; APD - Class 3; APD - Class 3 - Vent C; APD - Class 3 - Vent B; APD - Class 3 - Vent A

Zip Code: 97009; 97019; 97024; 97030; 97060; 97080; 97086; 97201; 97202; 97203; 97204; 97205; 97206; 97207; 97209; 97210; 97211; 97212; 97213; 97214; 97215; 97216; 97217; 97218; 97219; 9722097221; 97227; 97230; 97231; 97232; 97233; 97236; 97239; 97266

License # Provider # Operator Expire Date Classification Capacity 2393 509540 Coldea, Maria 07/25/2020 ACH - APD - Class 2 5 640 NE 155th Ave Portland OR 97230 (503) 287-0268

10307 515984 Coroama, Estera 02/14/2021 ACH - APD - Class 2 5 2060 SE 162nd Ave Portland OR 97233 (503) 761-7178

10293 515930 Costea, Gabriel Daniel 02/21/2021 ACH - APD - Class 2 5 16221 NE Holladay St Portland OR 97230 (503) 257-6762

10702 528956 Covaci, Lidia Niculina 03/20/2022 ACH - APD - Class 2 5 19909 NE Clackamas Ct Portland OR 97230 (503) 667-2827 10536 521646 Covaciu, Erika Aurica 10/23/2020 ACH - APD - Class 3 5 5735 SE 60th Ave Portland OR 97206 (503) 477-9080 2394 509537 Cozma, Livia 07/17/2021 ACH - APD - Class 3 5 2217 SE 156th Ave Portland OR 97233 (503) 761-1460 1675 589408 Crainic, Dorina Irina 09/24/2020 ACH - APD - Class 3 5 4215 SE Rex St Portland OR 97206 (503) 777-2101 Resident Mgr: Rebecca Victoria Love

10357 516459 Crainic, Lidia 09/06/2021 ACH - APD - Class 3 5

Prepared by DCHS-IT, Helpdesk extension 84357 Page 9 of 50 *This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*

MULTNOMAH COUNTY Department of County Human Services

Adult Care Home Program ACHP HOME REGISTRY Report Date 9/20/2021

Selection: Population: Aging and People with Disabilities Category: Adult Care Home Payment Type: Private Pay and Medicaid Classification: APD - Class 0; APD - Class 1; APD - Class 2; APD - Class 3; APD - Class 3 - Vent C; APD - Class 3 - Vent B; APD - Class 3 - Vent A

Zip Code: 97009; 97019; 97024; 97030; 97060; 97080; 97086; 97201; 97202; 97203; 97204; 97205; 97206; 97207; 97209; 97210; 97211; 97212; 97213; 97214; 97215; 97216; 97217; 97218; 97219; 9722097221; 97227; 97230; 97231; 97232; 97233; 97236; 97239; 97266

License # Provider # Operator Expire Date Classification Capacity 4302 SE Flavel St Portland OR 97206 (503) 788-8219 10020 511954 Cretu, Nicoleta 10/29/2020 ACH - APD - Class 3 5 1014 SE 213th Ave Gresham OR 97030 (503) 661-4124 1530 572896 Crisan, Carmen 08/24/2021 ACH - APD - Class 3 3 2918 SE 140th Ave Portland OR 97236 (503) 760-6735 10272 515582 Cristurean, Elisabeta 10/01/2020 ACH - APD - Class 3 5 850 NE 236th Pl Wood Village OR 97060 (503) 665-1231 10909 589440 Cristurean, Elisabeta Aniela 11/17/2020 ACH - APD - Class 2 5 2631 SE Wendy Dr Gresham OR 97080 (503) 667-9920 2445 505036 Cristurean, Emilia Ana 04/24/2022 ACH - APD - Class 2 5 518 NW 23rd Ave Gresham OR 97030 (503) 674-8453 Resident Mgr: Elisabeta Bristow

10190 513750 Cristurean, Emilia Ana 10/03/2021 ACH - APD - Class 2 5 522 NW 23rd Ave. Gresham OR 97030 (503) 492-6224 Resident Mgr: Elena Gabriela Mihaltan

893 525317 Cristurean, Silvia 04/03/2021 ACH - APD - Class 3 5

Prepared by DCHS-IT, Helpdesk extension 84357 Page 10 of 50 *This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*

MULTNOMAH COUNTY Department of County Human Services

Adult Care Home Program ACHP HOME REGISTRY Report Date 9/20/2021

Selection: Population: Aging and People with Disabilities Category: Adult Care Home Payment Type: Private Pay and Medicaid Classification: APD - Class 0; APD - Class 1; APD - Class 2; APD - Class 3; APD - Class 3 - Vent C; APD - Class 3 - Vent B; APD - Class 3 - Vent A

Zip Code: 97009; 97019; 97024; 97030; 97060; 97080; 97086; 97201; 97202; 97203; 97204; 97205; 97206; 97207; 97209; 97210; 97211; 97212; 97213; 97214; 97215; 97216; 97217; 97218; 97219; 9722097221; 97227; 97230; 97231; 97232; 97233; 97236; 97239; 97266

License # Provider # Operator Expire Date Classification Capacity 1480 NE Kane Dr Gresham OR 97030 (503) 666-3727 Resident Mgr: Teodor Cris Cristurean

10248 515179 Curescu, Corina 06/22/2022 ACH - APD - Class 2 5 12945 NE Pacific St Portland OR 97230 (503) 256-5775 2463 513702 Danciu, Maria Lidia 07/10/2020 ACH - APD - Class 2 5 4453 NE Failing St Portland OR 97213 (503) 287-4759 10690 523379 Del Rosario, Juliet Alfonso 01/24/2021 ACH - APD - Class 2 5 4807 SE 113th Ave Portland OR 97266 (503) 761-2667 11296 528292 Desta, Alganesh Tsegai 11/17/2020 ACH - APD - Class 2 4 13600 NE Clackamas Portland OR 97230 (503) 719-4019 10232 502079 Dicks, Margarida Bettencourt 05/02/2020 ACH - APD - Class 2 4 205 SE 113th Ave Portland OR 97216 (503) 257-5741

10993 525500 Digrazia, Annabelle Lagman 03/19/2021 ACH - APD - Class 2 5 5120 NE JARRETT ST PORTLAND OR 97218 (971) 352-6961

11210 527617 Dimaano, Ruth Mendoza 08/15/2021 ACH - APD - Class 2 5 1216 SE 282nd Ave Gresham OR 97080

Prepared by DCHS-IT, Helpdesk extension 84357 Page 11 of 50 *This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*

MULTNOMAH COUNTY Department of County Human Services

Adult Care Home Program ACHP HOME REGISTRY Report Date 9/20/2021

Selection: Population: Aging and People with Disabilities Category: Adult Care Home Payment Type: Private Pay and Medicaid Classification: APD - Class 0; APD - Class 1; APD - Class 2; APD - Class 3; APD - Class 3 - Vent C; APD - Class 3 - Vent B; APD - Class 3 - Vent A

Zip Code: 97009; 97019; 97024; 97030; 97060; 97080; 97086; 97201; 97202; 97203; 97204; 97205; 97206; 97207; 97209; 97210; 97211; 97212; 97213; 97214; 97215; 97216; 97217; 97218; 97219; 9722097221; 97227; 97230; 97231; 97232; 97233; 97236; 97239; 97266

License # Provider # Operator Expire Date Classification Capacity (503) 512-7313 11330 528543 Dion, Caroline Wanjiru 06/11/2021 ACH - APD - Class 1 5 845 NE 181st Ave Portland OR 97230 (503) 512-7720 891 529573 Dobra, Ana 03/15/2021 ACH - APD - Class 3 5 16001 NE Morris St Portland OR 97230 (503) 253-5826 10150 514126 Dobre, Claudiu 04/21/2021 ACH - APD - Class 3 5 3512 NE 135th Ave Portland OR 97230 (503) 255-1087 1566 577382 Doctor, Elena 12/21/2021 ACH - APD - Class 3 5 1741 SE 113th Ave Portland OR 97216 (503) 256-6225 864 528724 Dragulin, Daysi Nery 12/13/2021 ACH - APD - Class 3 5 6814 SE 66th Ave Portland OR 97206 (503) 788-9260 11371 528873 Elyas, Simon Ghebremichael 12/25/2021 ACH - APD - Class 2 5 13061 SE Sherman St Portland OR 97233 (971) 229-8416 10718 523620 Estibar, Samuel Salvatera 04/11/2021 ACH - APD - Class 2 5 14030 SE Bush St Portland OR 97236 (503) 760-3410 Resident Mgr: Michelle Cantillo Estebar

Prepared by DCHS-IT, Helpdesk extension 84357 Page 12 of 50 *This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*

MULTNOMAH COUNTY Department of County Human Services

Adult Care Home Program ACHP HOME REGISTRY Report Date 9/20/2021

Selection: Population: Aging and People with Disabilities Category: Adult Care Home Payment Type: Private Pay and Medicaid Classification: APD - Class 0; APD - Class 1; APD - Class 2; APD - Class 3; APD - Class 3 - Vent C; APD - Class 3 - Vent B; APD - Class 3 - Vent A

Zip Code: 97009; 97019; 97024; 97030; 97060; 97080; 97086; 97201; 97202; 97203; 97204; 97205; 97206; 97207; 97209; 97210; 97211; 97212; 97213; 97214; 97215; 97216; 97217; 97218; 97219; 9722097221; 97227; 97230; 97231; 97232; 97233; 97236; 97239; 97266

License # Provider # Operator Expire Date Classification Capacity 372 537998 Ferguson, Evelyn Louise 11/29/2020 ACH - APD - Class 3 4 2825 SE 121st Portland OR 97266 (503) 761-4980

11034 525819 Fernandez, Alma Beth Eustaquio 10/21/2020 ACH - APD - Class 2 5 11901 SE POWELL BLVD PORTLAND OR 97266 (503) 760-0871 Resident Mgr: Jodivina Sabundo Asa

10647 522570 Fernandez, Janet Molano 03/06/2021 ACH - APD - Class 2 5 12634 SE Long St Portland OR 97236 (503) 762-6258

11315 528395 Fernandez, Monica Cardeno 02/06/2021 ACH - APD - Class 2 5 7621 SE 104TH AVE PORTLAND OR 97266 (971) 254-8694 2188 506234 Filimon, 10/24/2020 ACH - APD - Class 2 5 1000 SE 130th Ave Portland OR 97233 (503) 256-3836 Resident Mgr: Silvia Filimon

10519 518719 Filip, Veronica Beltran 08/20/2020 ACH - APD - Class 2 5 7411 N Monteith Ave Portland OR 97203 (503) 719-4257 11295 528272 Fine, Ikatonga 11/05/2020 ACH - APD - Class 1 3 1701 NE 137th Ave Portland OR 97230 (503) 283-0849

Prepared by DCHS-IT, Helpdesk extension 84357 Page 13 of 50 *This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*

MULTNOMAH COUNTY Department of County Human Services

Adult Care Home Program ACHP HOME REGISTRY Report Date 9/20/2021

Selection: Population: Aging and People with Disabilities Category: Adult Care Home Payment Type: Private Pay and Medicaid Classification: APD - Class 0; APD - Class 1; APD - Class 2; APD - Class 3; APD - Class 3 - Vent C; APD - Class 3 - Vent B; APD - Class 3 - Vent A

Zip Code: 97009; 97019; 97024; 97030; 97060; 97080; 97086; 97201; 97202; 97203; 97204; 97205; 97206; 97207; 97209; 97210; 97211; 97212; 97213; 97214; 97215; 97216; 97217; 97218; 97219; 9722097221; 97227; 97230; 97231; 97232; 97233; 97236; 97239; 97266

License # Provider # Operator Expire Date Classification Capacity 10983 525539 Firica, Alexandru Catalin 02/04/2021 ACH - APD - Class 2 5 17141 SE Market St Portland OR 97233 (503) 761-0377 Resident Mgr: Maria Ivan Firica

2284 507489 Fit, Simona Dana 06/11/2022 ACH - APD - Class 3 5 3668 NE Division St Gresham OR 97030 (503) 666-6501

1791 525361 Flores, Delia 10/22/2020 ACH - APD - Class 3 5 5632 SE Duke St Portland OR 97206 (503) 777-2229

10662 522781 Frazier, Josephine Hipos 05/12/2021 ACH - APD - Class 2 5 175 NE Olvera Ct Gresham OR 97030 (503) 328-8676 11388 528894 Gachie, Mary Wairimu 05/13/2022 ACH - APD - Class 2 5 1445 SE 135th AVE PORTLAND OR 97233 (971) 271-7669 10666 515375 Galdamez-Aguilar, Jose 06/26/2021 ACH - APD - Class 3 5 15804 NE Broadway St Portland OR 97230 (503) 265-8631 11036 525841 Garcia Alvarez, Sheila 11/02/2020 ACH - APD - Class 2 3 660 SW EVANS ST PORTLAND OR 97219 (971) 302-7377 2458 510973 Garz, Iohan Nicklaus 05/08/2021 ACH - APD - Class 3 5

Prepared by DCHS-IT, Helpdesk extension 84357 Page 14 of 50 *This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*

MULTNOMAH COUNTY Department of County Human Services

Adult Care Home Program ACHP HOME REGISTRY Report Date 9/20/2021

Selection: Population: Aging and People with Disabilities Category: Adult Care Home Payment Type: Private Pay and Medicaid Classification: APD - Class 0; APD - Class 1; APD - Class 2; APD - Class 3; APD - Class 3 - Vent C; APD - Class 3 - Vent B; APD - Class 3 - Vent A

Zip Code: 97009; 97019; 97024; 97030; 97060; 97080; 97086; 97201; 97202; 97203; 97204; 97205; 97206; 97207; 97209; 97210; 97211; 97212; 97213; 97214; 97215; 97216; 97217; 97218; 97219; 9722097221; 97227; 97230; 97231; 97232; 97233; 97236; 97239; 97266

License # Provider # Operator Expire Date Classification Capacity 2340 SE 137th Ave Portland OR 97233 (503) 762-3986 Resident Mgr: Carmen Mihaela Garz

11351 528663 Gathii, Rosemary 10/13/2021 ACH - APD - Class 2 5 1370 NW Division St Gresham OR 97030 (503) 912-1496 11350 528669 Gbaanador, Torbari 10/12/2021 ACH - APD - Class 2 4 1491 NE 20th St Gresham OR 97030 (971) 293-3367 11242 527909 Geleto, Roba Abraham 03/12/2021 ACH - APD - Class 3 5 30 NE 125th Place Portland OR 97230 (503) 206-8901 11078 526320 Gemeda, Genet Kebede 07/26/2020 ACH - APD - Class 2 4 3035 NE 128TH AVE PORTLAND OR 97230 (971) 254-4742 11294 528283 Gichanga, Elvie Wanjiru 11/03/2021 ACH - APD - Class 2 5 1120 SE 225th Ave Gresham OR 97030 (503) 912-3849

11386 528846 Gichu, Janet Wanjiku 03/24/2022 ACH - APD - Class 1 5 16910 SE Alder St Portland OR 97233 (503) 477-7845

11379 528792 Gikaru, Margaret Wamaitha 02/10/2022 ACH - APD - Class 3 5 1003 SE Strebin Rd Troutdale OR 97060

Prepared by DCHS-IT, Helpdesk extension 84357 Page 15 of 50 *This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*

MULTNOMAH COUNTY Department of County Human Services

Adult Care Home Program ACHP HOME REGISTRY Report Date 9/20/2021

Selection: Population: Aging and People with Disabilities Category: Adult Care Home Payment Type: Private Pay and Medicaid Classification: APD - Class 0; APD - Class 1; APD - Class 2; APD - Class 3; APD - Class 3 - Vent C; APD - Class 3 - Vent B; APD - Class 3 - Vent A

Zip Code: 97009; 97019; 97024; 97030; 97060; 97080; 97086; 97201; 97202; 97203; 97204; 97205; 97206; 97207; 97209; 97210; 97211; 97212; 97213; 97214; 97215; 97216; 97217; 97218; 97219; 9722097221; 97227; 97230; 97231; 97232; 97233; 97236; 97239; 97266

License # Provider # Operator Expire Date Classification Capacity (503) 912-1645 10169 514403 Gill, Bonnie Anne 07/20/2021 ACH - APD - Class 2 5 5903 N Houghton St Portland OR 97203 (503) 247-7103 Resident Mgr: Evelyn Katherine Langford

10584 520864 Gill, Bonnie Anne 08/31/2020 ACH - APD - Class 2 5 9103 N Kimball Ave Portland OR 97203 (503) 285-4344 Resident Mgr: Tracie Lee Watson

11382 528824 Gitanyu, James Ruirie 02/28/2022 ACH - APD - Class 2 5 5655 SE Powell Valley Rd Gresham OR 97080 (971) 292-2524 11252 528025 Gitau, Margaret Wambui 04/29/2022 ACH - APD - Class 2 5 5825 SE Salquist Rd Gresham OR 97080 (503) 912-1065 11378 528789 Gitome, Christopher Kamau 02/10/2022 ACH - APD - Class 2 5 3670 SE 150th Ave Portland OR 97236 (971) 352-6924 11267 528105 Gitome, Teresia Mendi 07/01/2022 ACH - APD - Class 2 5 210 SW Phyllis Court Gresham OR 97030 (503) 912-0074 11326 528520 Gitome, Teresia Mendi 05/20/2021 ACH - APD - Class 2 5 11940 SE Bush St Portland OR 97266

Prepared by DCHS-IT, Helpdesk extension 84357 Page 16 of 50 *This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*

MULTNOMAH COUNTY Department of County Human Services

Adult Care Home Program ACHP HOME REGISTRY Report Date 9/20/2021

Selection: Population: Aging and People with Disabilities Category: Adult Care Home Payment Type: Private Pay and Medicaid Classification: APD - Class 0; APD - Class 1; APD - Class 2; APD - Class 3; APD - Class 3 - Vent C; APD - Class 3 - Vent B; APD - Class 3 - Vent A

Zip Code: 97009; 97019; 97024; 97030; 97060; 97080; 97086; 97201; 97202; 97203; 97204; 97205; 97206; 97207; 97209; 97210; 97211; 97212; 97213; 97214; 97215; 97216; 97217; 97218; 97219; 9722097221; 97227; 97230; 97231; 97232; 97233; 97236; 97239; 97266

License # Provider # Operator Expire Date Classification Capacity (503) 477-4909 Resident Mgr: Grace Nduta Karanja

2314 508967 Gligan, Augustin 10/19/2020 ACH - APD - Class 2 5 6111 SE 43rd Ave Portland OR 97206 (503) 777-5552 2196 506061 Gligan, Mirela Ana 10/30/2020 ACH - APD - Class 3 5 4408 SE Knapp St Portland OR 97206 (503) 772-0218 11301 528297 Gonfa, Bekele Merga 11/19/2020 ACH - APD - Class 2 4 11314 SE Pine Ct Portland OR 97216 (503) 255-9108 10109 513497 Grecu, Adela 12/18/2021 ACH - APD - Class 3 5 1208 NE Magda Ln Portland OR 97230 (503) 256-1832 10916 525049 Grecu, Jasmine Anna Maria 03/04/2021 ACH - APD - Class 2 5 735 NE 162nd Ave Portland OR 97230 (503) 254-5902 10094 513514 Greer, Vincent Bruce 01/01/2021 ACH - APD - Class 2 4 1820 SE 138th Ave Portland OR 97233 (503) 256-4550 10073 512677 Grejuc, Ioana 06/03/2022 ACH - APD - Class 2 5 1015 NE 58th Ave Portland OR 97213 (503) 288-9365

Prepared by DCHS-IT, Helpdesk extension 84357 Page 17 of 50 *This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*

MULTNOMAH COUNTY Department of County Human Services

Adult Care Home Program ACHP HOME REGISTRY Report Date 9/20/2021

Selection: Population: Aging and People with Disabilities Category: Adult Care Home Payment Type: Private Pay and Medicaid Classification: APD - Class 0; APD - Class 1; APD - Class 2; APD - Class 3; APD - Class 3 - Vent C; APD - Class 3 - Vent B; APD - Class 3 - Vent A

Zip Code: 97009; 97019; 97024; 97030; 97060; 97080; 97086; 97201; 97202; 97203; 97204; 97205; 97206; 97207; 97209; 97210; 97211; 97212; 97213; 97214; 97215; 97216; 97217; 97218; 97219; 9722097221; 97227; 97230; 97231; 97232; 97233; 97236; 97239; 97266

License # Provider # Operator Expire Date Classification Capacity 2311 508219 Grigoras, Estera Ecaterina 10/25/2020 ACH - APD - Class 2 5 1148 SE 144th Ave Portland OR 97233 (503) 262-6957

10771 509918 Grigorean, Brindusa Lidia 03/17/2021 ACH - APD - Class 2 5 5907 SW Patton Rd Portland OR 97221 (503) 255-0184

2391 509618 Grimes, Maria Fatima 07/15/2022 ACH - APD - Class 1 5 8524 SE 172nd Ave Gresham OR 97080 (503) 492-5836

2319 510308 Gulerez, Vasilica 10/31/2020 ACH - APD - Class 3 5 11638 SW 35th Ave Portland OR 97219 (503) 244-9109 11399 528987 Guyieso, Moyeta Abebe 08/11/2022 ACH - APD - Class 2 5 2988 SW Emerald Ave Gresham OR 97080 (971) 293-3135 564 518006 Gwin, Deanna Lynn 02/24/2021 ACH - APD - Class 3 - Vent A 3 8867 SE 10th Ave Portland OR 97202 (503) 238-1406 11389 528939 Habtemariam, Yodit Asmerom 07/04/2022 ACH - APD - Class 2 5 13015 NE Oregon St Portland OR 97230 (503) 253-0414 10208 509630 Hada, Monica Lavinia 01/02/2021 ACH - APD - Class 3 5 2912 SE 101st Ave Portland OR 97266

Prepared by DCHS-IT, Helpdesk extension 84357 Page 18 of 50 *This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*

MULTNOMAH COUNTY Department of County Human Services

Adult Care Home Program ACHP HOME REGISTRY Report Date 9/20/2021

Selection: Population: Aging and People with Disabilities Category: Adult Care Home Payment Type: Private Pay and Medicaid Classification: APD - Class 0; APD - Class 1; APD - Class 2; APD - Class 3; APD - Class 3 - Vent C; APD - Class 3 - Vent B; APD - Class 3 - Vent A

Zip Code: 97009; 97019; 97024; 97030; 97060; 97080; 97086; 97201; 97202; 97203; 97204; 97205; 97206; 97207; 97209; 97210; 97211; 97212; 97213; 97214; 97215; 97216; 97217; 97218; 97219; 9722097221; 97227; 97230; 97231; 97232; 97233; 97236; 97239; 97266

License # Provider # Operator Expire Date Classification Capacity (503) 762-0152 Resident Mgr: Tetyana Vasilyevna Tsar

11028 525818 Haile, Rahel Birru 09/22/2020 ACH - APD - Class 3 5 965 NW 4th St Gresham OR 97030 (503) 669-0688 11403 Hall, Princess Lynn Bawi In 09/14/2022 ACH - APD - Class 3 5 14947 SE Mill St Portland OR 97233 (503) 761-2290 11072 526326 Hanuseac, Tabita Gabriela 06/28/2020 ACH - APD - Class 3 5 13077 SE GLENWOOD ST PORTLAND OR 97236 (503) 760-2929 11164 527141 Hartung, Desiree Marie 12/04/2021 ACH - APD - Class 3 5 13041 SE Alder St Portland OR 97233 (503) 206-6168 11356 528684 Hika, Lelisa Kebede 10/26/2021 ACH - APD - Class 3 4 2537 NE 132nd Ave Portland OR 97230 (503) 946-1744 1734 500239 Hiticas, Florica 05/12/2021 ACH - APD - Class 2 5 1217 NE 155th Ave Portland OR 97230 (503) 256-5221 11089 526408 House, Susan Panlilio 08/29/2020 ACH - APD - Class 3 5 1510 NE Hacienda Ave Gresham OR 97030 (503) 465-2899

Prepared by DCHS-IT, Helpdesk extension 84357 Page 19 of 50 *This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*

MULTNOMAH COUNTY Department of County Human Services

Adult Care Home Program ACHP HOME REGISTRY Report Date 9/20/2021

Selection: Population: Aging and People with Disabilities Category: Adult Care Home Payment Type: Private Pay and Medicaid Classification: APD - Class 0; APD - Class 1; APD - Class 2; APD - Class 3; APD - Class 3 - Vent C; APD - Class 3 - Vent B; APD - Class 3 - Vent A

Zip Code: 97009; 97019; 97024; 97030; 97060; 97080; 97086; 97201; 97202; 97203; 97204; 97205; 97206; 97207; 97209; 97210; 97211; 97212; 97213; 97214; 97215; 97216; 97217; 97218; 97219; 9722097221; 97227; 97230; 97231; 97232; 97233; 97236; 97239; 97266

License # Provider # Operator Expire Date Classification Capacity 10720 523234 Hudran, John 04/30/2022 ACH - APD - Class 2 5 2367 NE 23rd St Gresham OR 97030 (503) 492-0687

1192 542881 Hughes, James Garrett 02/16/2021 ACH - APD - Class 2 5 12733 SE Mill Ct Portland OR 97233 (503) 256-4964 Resident Mgr: Kristin DeeAnn Garrett

2299 507818 Hughes, James Garrett 02/17/2021 ACH - APD - Class 2 5 12722 SE Mill Ct Portland OR 97233 (503) 206-8630 Resident Mgr: David Nicholas Thomas

2005 534511 Ianos, Magdalena 04/14/2022 ACH - APD - Class 3 5 14724 SE Rhone St Portland OR 97236 (503) 762-3187 Resident Mgr: Vasile Ianos

11014 525764 Ilie, Larisa Priscila 08/03/2022 ACH - APD - Class 2 5 1632 SW Orchard Ave Gresham OR 97080 (503) 328-8667 10249 515178 Ioanas, Lidia Lenuta 05/24/2021 ACH - APD - Class 2 5 12333 NE Russell St Portland OR 97230 (503) 257-5988 11360 528692 Irungu, Pauline Joan Wanjiku 11/05/2021 ACH - APD - Class 2 5 4450 NE 38th Ave Portland OR 97211

Prepared by DCHS-IT, Helpdesk extension 84357 Page 20 of 50 *This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*

MULTNOMAH COUNTY Department of County Human Services

Adult Care Home Program ACHP HOME REGISTRY Report Date 9/20/2021

Selection: Population: Aging and People with Disabilities Category: Adult Care Home Payment Type: Private Pay and Medicaid Classification: APD - Class 0; APD - Class 1; APD - Class 2; APD - Class 3; APD - Class 3 - Vent C; APD - Class 3 - Vent B; APD - Class 3 - Vent A

Zip Code: 97009; 97019; 97024; 97030; 97060; 97080; 97086; 97201; 97202; 97203; 97204; 97205; 97206; 97207; 97209; 97210; 97211; 97212; 97213; 97214; 97215; 97216; 97217; 97218; 97219; 9722097221; 97227; 97230; 97231; 97232; 97233; 97236; 97239; 97266

License # Provider # Operator Expire Date Classification Capacity (971) 279-4333 10448 517575 Ispas, Ileana Viorica 08/26/2021 ACH - APD - Class 2 5 1317 NE 152nd Ave Portland OR 97230 (503) 255-4765 1614 585641 Jigau, Florica 05/04/2021 ACH - APD - Class 3 5 3131 SE 115th Portland OR 97266 (503) 762-0621 11342 528606 Jima, Assefa Enguru 08/11/2021 ACH - APD - Class 2 5 12717 SE Lincoln St Portland OR 97233 (971) 386-2916 11347 528642 Kabogo, Teresia Muthoni 09/10/2021 ACH - APD - Class 2 5 131 NE 149th Place Portland OR 97230 (503) 477-8945 11401 529009 Kabue, Nelson Mathia 09/06/2022 ACH - APD - Class 3 5 17932 NE Everett Ct Portland OR 97230 (503) 618-1133 11344 528616 Kagiri, Jane Wangui 08/24/2022 ACH - APD - Class 2 5 18857 SE Giese Rd Gresham OR 97080 (503) 912-3668 11308 528352 Kagiri, Margaret 12/22/2021 ACH - APD - Class 2 5 7724 SE 103rd Ave Portland OR 97266 (971) 279-2753 10064 512933 Kalamafoni, Luhama 06/24/2020 ACH - APD - Class 2 5

Prepared by DCHS-IT, Helpdesk extension 84357 Page 21 of 50 *This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*

MULTNOMAH COUNTY Department of County Human Services

Adult Care Home Program ACHP HOME REGISTRY Report Date 9/20/2021

Selection: Population: Aging and People with Disabilities Category: Adult Care Home Payment Type: Private Pay and Medicaid Classification: APD - Class 0; APD - Class 1; APD - Class 2; APD - Class 3; APD - Class 3 - Vent C; APD - Class 3 - Vent B; APD - Class 3 - Vent A

Zip Code: 97009; 97019; 97024; 97030; 97060; 97080; 97086; 97201; 97202; 97203; 97204; 97205; 97206; 97207; 97209; 97210; 97211; 97212; 97213; 97214; 97215; 97216; 97217; 97218; 97219; 9722097221; 97227; 97230; 97231; 97232; 97233; 97236; 97239; 97266

License # Provider # Operator Expire Date Classification Capacity 8622 N Chase Ave Portland OR 97217 (503) 735-9668 11334 528566 Kamau, Catherine Wangui 06/30/2021 ACH - APD - Class 2 5 417 SE 76th Ave Portland OR 97215 (971) 302-7922 11302 528308 Kamuga, Samuel Koinange 12/01/2021 ACH - APD - Class 3 5 20 NW Sleret Ave Gresham OR 97030 (503) 912-3424 11250 528017 Kangu, John Njenga 04/28/2021 ACH - APD - Class 2 5 2722 NE 122nd Ave Portland OR 97230 (971) 288-5960 11402 Kangu, John Njenga 08/27/2022 ACH - APD - Class 2 5 1232 SE 282nd Ave Gresham OR 97080 (503) 489-5829 Resident Mgr: Pauline Wangui Ng'ang'ira

11314 528386 Kariuki, Winnie Wangari 01/27/2021 ACH - APD - Class 2 5 3606 SE 156th Ave Portland OR 97236 (971) 703-4902

11023 521317 Kassa, Tsegaberhan Berhe 08/27/2020 ACH - APD - Class 2 5 10905 NE Knott Street Portland OR 97220 (971) 271-8143

11253 528040 Katigbak, Elienor Bulanhagui 05/07/2021 ACH - APD - Class 2 5 2421 SE 190th Ave Portland OR 97233

Prepared by DCHS-IT, Helpdesk extension 84357 Page 22 of 50 *This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*

MULTNOMAH COUNTY Department of County Human Services

Adult Care Home Program ACHP HOME REGISTRY Report Date 9/20/2021

Selection: Population: Aging and People with Disabilities Category: Adult Care Home Payment Type: Private Pay and Medicaid Classification: APD - Class 0; APD - Class 1; APD - Class 2; APD - Class 3; APD - Class 3 - Vent C; APD - Class 3 - Vent B; APD - Class 3 - Vent A

Zip Code: 97009; 97019; 97024; 97030; 97060; 97080; 97086; 97201; 97202; 97203; 97204; 97205; 97206; 97207; 97209; 97210; 97211; 97212; 97213; 97214; 97215; 97216; 97217; 97218; 97219; 9722097221; 97227; 97230; 97231; 97232; 97233; 97236; 97239; 97266

License # Provider # Operator Expire Date Classification Capacity (503) 855-4548 11375 528763 Kem, Jennifer Louise 01/14/2022 ACH - APD - Class 2 1 17247 SE McKinley Gresham OR 97080 (503) 912-3461 11398 528980 Kibira, Joseph Ndirangu 08/08/2022 ACH - APD - Class 2 3 1408 NE 19th St Gresham OR 97030 (971) 336-4632 10701 523679 Kinga, Fatuma Salumu 05/02/2021 ACH - APD - Class 2 5 2350 SE 121st Ave Portland OR 97216 (503) 770-8808 11366 528725 Kisanga, Susan Wambui 12/07/2021 ACH - APD - Class 2 5 3624 SE 157th Ave Portland OR 97236 (503) 954-3377 10305 515688 Kovac, Anca 11/24/2020 ACH - APD - Class 3 5 1238 NE 157th Ave Portland OR 97230 (503) 256-4644 665 509351 Kovac, Octavia Aurelia 07/06/2021 ACH - APD - Class 3 4 605 SE 156th Ave Portland OR 97233 (503) 253-2535 10040 512318 Kreibik, Tiberiu 02/14/2021 ACH - APD - Class 2 5 2609 NE 137th Ave Portland OR 97230 (503) 760-1425 11276 528171 Kurfessa, Magartu Abraham 08/19/2022 ACH - APD - Class 2 5

Prepared by DCHS-IT, Helpdesk extension 84357 Page 23 of 50 *This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*

MULTNOMAH COUNTY Department of County Human Services

Adult Care Home Program ACHP HOME REGISTRY Report Date 9/20/2021

Selection: Population: Aging and People with Disabilities Category: Adult Care Home Payment Type: Private Pay and Medicaid Classification: APD - Class 0; APD - Class 1; APD - Class 2; APD - Class 3; APD - Class 3 - Vent C; APD - Class 3 - Vent B; APD - Class 3 - Vent A

Zip Code: 97009; 97019; 97024; 97030; 97060; 97080; 97086; 97201; 97202; 97203; 97204; 97205; 97206; 97207; 97209; 97210; 97211; 97212; 97213; 97214; 97215; 97216; 97217; 97218; 97219; 9722097221; 97227; 97230; 97231; 97232; 97233; 97236; 97239; 97266

License # Provider # Operator Expire Date Classification Capacity 16544 SE Salmon St Portland OR 97230 (503) 719-5535 11380 528797 Kuria, Cecilia Muthoni 02/18/2022 ACH - APD - Class 3 5 12908 SE Taylor Ct Portland OR 97233 (971) 229-1292 10742 524039 Laygo, Robert Ryan Asa 10/08/2020 ACH - APD - Class 2 5 425 SE Kane Dr Gresham OR 97080 (503) 669-4274 10511 520328 Le, Khoa Dang 07/17/2021 ACH - APD - Class 2 5 5322 SE 140th Ave Portland OR 97236 (503) 544-1701 2453 511012 Lechinteanu, Laura 05/09/2021 ACH - APD - Class 3 5 711 NE 172nd Ave Portland OR 97230 (503) 253-8990 11309 0 Leka, Daniel 12/23/2021 ACH - APD - Class 1 5 2932 NE Glisan Portland OR 97232 (503) 239-5682

10985 525492 Lemassa, Serkalem Agessa 02/15/2021 ACH - APD - Class 2 5 18931 NE Davis St Portland OR 97230 (503) 328-8064 Resident Mgr: Jorge Jose Sifuentes

11261 528081 Lencho, Goobanee Wako 06/05/2021 ACH - APD - Class 3 4 13527 SE Market St Portland OR 97233

Prepared by DCHS-IT, Helpdesk extension 84357 Page 24 of 50 *This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*

MULTNOMAH COUNTY Department of County Human Services

Adult Care Home Program ACHP HOME REGISTRY Report Date 9/20/2021

Selection: Population: Aging and People with Disabilities Category: Adult Care Home Payment Type: Private Pay and Medicaid Classification: APD - Class 0; APD - Class 1; APD - Class 2; APD - Class 3; APD - Class 3 - Vent C; APD - Class 3 - Vent B; APD - Class 3 - Vent A

Zip Code: 97009; 97019; 97024; 97030; 97060; 97080; 97086; 97201; 97202; 97203; 97204; 97205; 97206; 97207; 97209; 97210; 97211; 97212; 97213; 97214; 97215; 97216; 97217; 97218; 97219; 9722097221; 97227; 97230; 97231; 97232; 97233; 97236; 97239; 97266

License # Provider # Operator Expire Date Classification Capacity (971) 271-7344 11062 526436 Lucescu, Georgeta 05/11/2021 ACH - APD - Class 3 5 2739 SE Franklin St Portland OR 97202 (503) 235-4243 11213 527658 Luong, Gennalyn Ganaban 08/28/2020 ACH - APD - Class 2 5 12122 SE Foster Road Portland OR 97266 (971) 888-4444 Resident Mgr: Melba Vasquez Ganaban

167 524160 Lupei, Annie 11/30/2020 ACH - APD - Class 3 5 4507 SE Ramona St Portland OR 97206 (503) 774-8254 10212 511427 Lupeiu, Maria Lucia 12/29/2021 ACH - APD - Class 2 4 15032 SE Woodward St Portland OR 97236 (503) 761-8744 10499 518724 Lupu, Irina Steliana 04/13/2021 ACH - APD - Class 3 5 1600 NE 156th Ave Portland OR 97230 (503) 255-7932 11307 528338 Ly, Vinh Phuc 12/17/2021 ACH - APD - Class 2 5 2754 SW Hume Ct Portland OR 97219 (503) 719-7388 Resident Mgr: Ann Nguyen

2252 507219 Macuse, Helen Chua 04/30/2020 ACH - APD - Class 3 5 12024 SE Raymond St Portland OR 97266

Prepared by DCHS-IT, Helpdesk extension 84357 Page 25 of 50 *This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*

MULTNOMAH COUNTY Department of County Human Services

Adult Care Home Program ACHP HOME REGISTRY Report Date 9/20/2021

Selection: Population: Aging and People with Disabilities Category: Adult Care Home Payment Type: Private Pay and Medicaid Classification: APD - Class 0; APD - Class 1; APD - Class 2; APD - Class 3; APD - Class 3 - Vent C; APD - Class 3 - Vent B; APD - Class 3 - Vent A

Zip Code: 97009; 97019; 97024; 97030; 97060; 97080; 97086; 97201; 97202; 97203; 97204; 97205; 97206; 97207; 97209; 97210; 97211; 97212; 97213; 97214; 97215; 97216; 97217; 97218; 97219; 9722097221; 97227; 97230; 97231; 97232; 97233; 97236; 97239; 97266

License # Provider # Operator Expire Date Classification Capacity (503) 762-0181 11137 526978 Macuse, Helen Chua 07/16/2020 ACH - APD - Class 2 5 5020 SE 120TH AVE PORTLAND OR 97266 (503) 762-1308 Shift Mgr: Maria Teresita Suliao Mendioro; Kanittha Caballero

11364 528861 Magana, Evelia Ayala 11/30/2021 ACH - APD - Class 2 5 1906 SE 72nd Ave Portland OR 97215 (503) 772-5217 11369 0 Magana, Evelia Ayala 12/20/2021 ACH - APD - Class 2 5 7220 SE Stephens Portland OR 97215 (503) 772-5217 Resident Mgr: Angelica Maria Magana Ayala

2200 534425 Magda, Mariana Lidia 10/21/2020 ACH - APD - Class 3 5 725 NE 157th Ave Portland OR 97230 (503) 253-6058 11396 0 Maina, Caroline Wangui 07/31/2022 ACH - APD - Class 2 5 1234 NE 47th Ave Portland OR 97213 (503) 288-3707 Resident Mgr: Henry Kinyanjui Kiragu

10665 522884 Makoko, Paul Mngurutta 06/13/2022 ACH - APD - Class 2 5 119 NE 156th Ave Portland OR 97230 (503) 954-1818 11397 518566 Manalo, Evelyn Katigbak 07/28/2022 ACH - APD - Class 2 5

Prepared by DCHS-IT, Helpdesk extension 84357 Page 26 of 50 *This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*

MULTNOMAH COUNTY Department of County Human Services

Adult Care Home Program ACHP HOME REGISTRY Report Date 9/20/2021

Selection: Population: Aging and People with Disabilities Category: Adult Care Home Payment Type: Private Pay and Medicaid Classification: APD - Class 0; APD - Class 1; APD - Class 2; APD - Class 3; APD - Class 3 - Vent C; APD - Class 3 - Vent B; APD - Class 3 - Vent A

Zip Code: 97009; 97019; 97024; 97030; 97060; 97080; 97086; 97201; 97202; 97203; 97204; 97205; 97206; 97207; 97209; 97210; 97211; 97212; 97213; 97214; 97215; 97216; 97217; 97218; 97219; 9722097221; 97227; 97230; 97231; 97232; 97233; 97236; 97239; 97266

License # Provider # Operator Expire Date Classification Capacity 2030 NE 159th Ave Portland OR 97230 (503) 954-2555 10467 518207 Manaois, Allan Mendoza 02/28/2021 ACH - APD - Class 3 5 2122 SE 170th Ave Portland OR 97233 (503) 762-8186 10142 514266 Marcan, Cornelia 04/28/2022 ACH - APD - Class 3 5 2853 SW Pleasant View Dr Gresham OR 97080 (503) 491-9269 826 524699 Mardare, Mariana 09/03/2020 ACH - APD - Class 2 4 3110 NE 162nd Ave Portland OR 97230 (503) 255-8569 Resident Mgr: Julia Mihaela Moisoiu

10046 512320 Marginean, Ovidiu 02/19/2021 ACH - APD - Class 2 5 628 NE 155th Ave Portland OR 97230 (503) 255-7073 10441 516235 Marisca, Afrodita Cristina 12/02/2021 ACH - APD - Class 2 5 4331 NE 18th Ave Portland OR 97211 (503) 384-2369

11051 526037 Martija, Dennis Joseph Lojo 02/23/2021 ACH - APD - Class 2 5 520 SE Vista Terrace Gresham OR 97080 (503) 912-1122

10598 521519 Martija, Glenn Lojo 03/21/2021 ACH - APD - Class 2 5 3215 SE 5th St Gresham OR 97080

Prepared by DCHS-IT, Helpdesk extension 84357 Page 27 of 50 *This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*

MULTNOMAH COUNTY Department of County Human Services

Adult Care Home Program ACHP HOME REGISTRY Report Date 9/20/2021

Selection: Population: Aging and People with Disabilities Category: Adult Care Home Payment Type: Private Pay and Medicaid Classification: APD - Class 0; APD - Class 1; APD - Class 2; APD - Class 3; APD - Class 3 - Vent C; APD - Class 3 - Vent B; APD - Class 3 - Vent A

Zip Code: 97009; 97019; 97024; 97030; 97060; 97080; 97086; 97201; 97202; 97203; 97204; 97205; 97206; 97207; 97209; 97210; 97211; 97212; 97213; 97214; 97215; 97216; 97217; 97218; 97219; 9722097221; 97227; 97230; 97231; 97232; 97233; 97236; 97239; 97266

License # Provider # Operator Expire Date Classification Capacity (503) 492-4196 Resident Mgr: Brenda Pungtilan Hartman

11358 528696 Martija, Glenn Lojo 11/15/2021 ACH - APD - Class 2 5 819 NE 117th Ave Portland OR 97220 (503) 254-5211 Resident Mgr: Neliza Morada Martija

11395 528969 Martija, Ricamarie Custodio 07/19/2022 ACH - APD - Class 2 5 18120 SE Main St Portland OR 97233 (503) 719-6634 2399 509726 Matis, Carmen 11/30/2020 ACH - APD - Class 3 5 1601 NE 152nd Pl Portland OR 97230 (503) 254-5023 11317 528457 McFeron, Michael Walter 03/25/2021 ACH - APD - Class 2 5 2351 NE 148th Ave Portland OR 97230 (971) 339-2150 11346 528636 Meaza, Mergiyanesh Kokebe 09/02/2021 ACH - APD - Class 1 4 3648 SW 22nd Ct Gresham OR 97080 (503) 512-8616 10715 523578 Mebrahtu, Tsega Kahsay 04/01/2021 ACH - APD - Class 3 5 1426 NE Highland St Portland OR 97211 (971) 544-7728 Resident Mgr: Ruth M Tessema

10431 515492 Megherea, Lyudmila Vladimir 07/21/2020 ACH - APD - Class 3 5

Prepared by DCHS-IT, Helpdesk extension 84357 Page 28 of 50 *This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*

MULTNOMAH COUNTY Department of County Human Services

Adult Care Home Program ACHP HOME REGISTRY Report Date 9/20/2021

Selection: Population: Aging and People with Disabilities Category: Adult Care Home Payment Type: Private Pay and Medicaid Classification: APD - Class 0; APD - Class 1; APD - Class 2; APD - Class 3; APD - Class 3 - Vent C; APD - Class 3 - Vent B; APD - Class 3 - Vent A

Zip Code: 97009; 97019; 97024; 97030; 97060; 97080; 97086; 97201; 97202; 97203; 97204; 97205; 97206; 97207; 97209; 97210; 97211; 97212; 97213; 97214; 97215; 97216; 97217; 97218; 97219; 9722097221; 97227; 97230; 97231; 97232; 97233; 97236; 97239; 97266

License # Provider # Operator Expire Date Classification Capacity 8953 SE Crystal Springs Blvd Portland OR 97266 (503) 775-7174 Resident Mgr: Ludmila Semion Megherea

11316 528582 Mekonnen, Mariamawit 02/06/2021 ACH - APD - Class 2 5 1701 NE 116th Place Portland OR 97220 (503) 477-7866 10712 518595 Melinti, Tabitha 04/25/2022 ACH - APD - Class 2 5 3785 SW 5th Dr Gresham OR 97030 (503) 912-3642 1965 502536 Mendoza, Reynaldo Garcia 11/14/2020 ACH - APD - Class 2 5 2341 SE 143rd Ave Portland OR 97233 (503) 761-5170 11286 528228 Mester, Daniel Ioan 10/09/2020 ACH - APD - Class 2 4 2947 SW Plum Ct. Portland OR 97219 (503) 293-5960 10014 511784 Mihaltan, Steve Akeem 10/10/2020 ACH - APD - Class 3 5 16921 SE Main St Portland OR 97233 (503) 253-6940

10558 507492 Milea, Camelia 08/12/2020 ACH - APD - Class 2 5 6720 SE 66th Ave Portland OR 97206 (503) 771-7057

10398 517113 Miller, Julie Ann 03/20/2021 ACH - APD - Class 2 5 2790 SW Butler Rd Gresham OR 97080

Prepared by DCHS-IT, Helpdesk extension 84357 Page 29 of 50 *This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*

MULTNOMAH COUNTY Department of County Human Services

Adult Care Home Program ACHP HOME REGISTRY Report Date 9/20/2021

Selection: Population: Aging and People with Disabilities Category: Adult Care Home Payment Type: Private Pay and Medicaid Classification: APD - Class 0; APD - Class 1; APD - Class 2; APD - Class 3; APD - Class 3 - Vent C; APD - Class 3 - Vent B; APD - Class 3 - Vent A

Zip Code: 97009; 97019; 97024; 97030; 97060; 97080; 97086; 97201; 97202; 97203; 97204; 97205; 97206; 97207; 97209; 97210; 97211; 97212; 97213; 97214; 97215; 97216; 97217; 97218; 97219; 9722097221; 97227; 97230; 97231; 97232; 97233; 97236; 97239; 97266

License # Provider # Operator Expire Date Classification Capacity (503) 665-1669 10306 515777 Miller, Monika Jessica 12/20/2021 ACH - APD - Class 3 5 2288 SE Mignonette Ct Gresham OR 97080 (503) 669-6522 10269 515847 Moga, Nadina Cornelia 01/24/2022 ACH - APD - Class 3 5 13048 SE Cora St Portland OR 97236 (503) 762-2658 Resident Mgr: Adina Moga

1894 500059 Molfa, Gabriela Mariana 05/10/2021 ACH - APD - Class 3 5 3615 SE 118th Ave Portland OR 97266 (503) 760-2558 Resident Mgr: Bogdan Liviu Molfa

11224 527782 Muigai, Lucy Wambui 11/22/2021 ACH - APD - Class 3 5 4156 NE 219 Ct. Fairview OR 97024 (971) 292-2198 11383 528829 Munyanya, Yvonne Kemunto 03/14/2022 ACH - APD - Class 3 5 11604 SW 35th Ave Portland OR 97219 (503) 889-0925 10609 521850 Muresan, Angela 05/13/2021 ACH - APD - Class 3 5 1720 NW 27th Ave Portland OR 97210 (503) 894-8048 11232 527832 Murimi, Eunice Wanjeri 01/09/2021 ACH - APD - Class 2 5 16534 SE Stephens Street Portland OR 97233

Prepared by DCHS-IT, Helpdesk extension 84357 Page 30 of 50 *This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*

MULTNOMAH COUNTY Department of County Human Services

Adult Care Home Program ACHP HOME REGISTRY Report Date 9/20/2021

Selection: Population: Aging and People with Disabilities Category: Adult Care Home Payment Type: Private Pay and Medicaid Classification: APD - Class 0; APD - Class 1; APD - Class 2; APD - Class 3; APD - Class 3 - Vent C; APD - Class 3 - Vent B; APD - Class 3 - Vent A

Zip Code: 97009; 97019; 97024; 97030; 97060; 97080; 97086; 97201; 97202; 97203; 97204; 97205; 97206; 97207; 97209; 97210; 97211; 97212; 97213; 97214; 97215; 97216; 97217; 97218; 97219; 9722097221; 97227; 97230; 97231; 97232; 97233; 97236; 97239; 97266

License # Provider # Operator Expire Date Classification Capacity (503) 954-2390 11384 528827 Mwangi, Jane Gachambi 03/15/2022 ACH - APD - Class 2 5 3583 SE 49th Ave Portland OR 97206 (971) 373-8613 1279 516748 Nabehet, Bognosen Dumanghi 10/18/2020 ACH - APD - Class 3 5 3774 N Melrose Dr Portland OR 97227 (503) 477-7701 10570 513248 Nabehet, Merlita Mangalindan 07/30/2021 ACH - APD - Class 2 5 3964 N Massachusetts Ave Portland OR 97227 (503) 841-5944 10951 525507 Nan, Delia 08/25/2020 ACH - APD - Class 2 5 300 NE 197th Ave Portland OR 97230 (503) 777-4069 11374 528747 Ndungu, Johnson Maina 01/07/2022 ACH - APD - Class 2 5 13250 NE Glisan St Portland OR 97230 (503) 954-3947 10809 524797 Neagu, Yuliya 08/29/2020 ACH - APD - Class 3 5 4 NE 202nd Ave Portland OR 97230 (503) 465-6888 11377 528779 Nedi, Yemisrach Worku 01/31/2022 ACH - APD - Class 2 4 3631 N Trenton St Portland OR 97217 (503) 477-9968 10240 515476 Nelson, Mila Damo 07/31/2021 ACH - APD - Class 3 5

Prepared by DCHS-IT, Helpdesk extension 84357 Page 31 of 50 *This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*

MULTNOMAH COUNTY Department of County Human Services

Adult Care Home Program ACHP HOME REGISTRY Report Date 9/20/2021

Selection: Population: Aging and People with Disabilities Category: Adult Care Home Payment Type: Private Pay and Medicaid Classification: APD - Class 0; APD - Class 1; APD - Class 2; APD - Class 3; APD - Class 3 - Vent C; APD - Class 3 - Vent B; APD - Class 3 - Vent A

Zip Code: 97009; 97019; 97024; 97030; 97060; 97080; 97086; 97201; 97202; 97203; 97204; 97205; 97206; 97207; 97209; 97210; 97211; 97212; 97213; 97214; 97215; 97216; 97217; 97218; 97219; 9722097221; 97227; 97230; 97231; 97232; 97233; 97236; 97239; 97266

License # Provider # Operator Expire Date Classification Capacity 1756 NW 14th Dr Gresham OR 97030 (503) 669-6897 11321 528461 Nganga, Mary Wacuka 03/31/2021 ACH - APD - Class 2 5 9258 SE Salmon St Portland OR 97216 (971) 255-1863 11391 528960 Nganga, Nancy Murugi 07/07/2022 ACH - APD - Class 2 3 17512 NE Glisan St Portland OR 97230 (971) 888-4090 11319 528459 Ngure, Noel Njeri 03/29/2021 ACH - APD - Class 2 5 8026 SE Woodstock Blvd Portland OR 97206 (503) 777-7028 11339 528598 Nguyen, Dinh Phuoc 08/09/2021 ACH - APD - Class 2 5 4125 SE 134th Ave Portland OR 97236 (971) 888-4033 1863 501909 Nicolae, Marilena 06/28/2022 ACH - APD - Class 2 4 3655/3665 NE Division St Gresham OR 97030 (503) 766-3345

11229 527784 Njenga, Miriam Njeri 12/05/2021 ACH - APD - Class 2 5 19715 NE Hassalo Ct Portland OR 97230 (503) 489-5919

11269 528160 Njuguna, Dorcas 07/15/2021 ACH - APD - Class 2 5 13059 SE Morrison Portland OR 97233 (503) 477-5625

Prepared by DCHS-IT, Helpdesk extension 84357 Page 32 of 50 *This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*

MULTNOMAH COUNTY Department of County Human Services

Adult Care Home Program ACHP HOME REGISTRY Report Date 9/20/2021

Selection: Population: Aging and People with Disabilities Category: Adult Care Home Payment Type: Private Pay and Medicaid Classification: APD - Class 0; APD - Class 1; APD - Class 2; APD - Class 3; APD - Class 3 - Vent C; APD - Class 3 - Vent B; APD - Class 3 - Vent A

Zip Code: 97009; 97019; 97024; 97030; 97060; 97080; 97086; 97201; 97202; 97203; 97204; 97205; 97206; 97207; 97209; 97210; 97211; 97212; 97213; 97214; 97215; 97216; 97217; 97218; 97219; 9722097221; 97227; 97230; 97231; 97232; 97233; 97236; 97239; 97266

License # Provider # Operator Expire Date Classification Capacity 11187 527413 Noffsinger, Sadie Irene 03/27/2022 ACH - APD - Class 2 5 2103 SE 130th Ave Portland OR 97233 (503) 477-5395 Resident Mgr: Getachew Teshome Ayalneh

11336 528579 Noffsinger, Sadie Irene 07/12/2021 ACH - APD - Class 3 5 3232 SE 129th Ave Portland OR 97236 (503) 477-5395

11041 526031 Nutas, Raveca 11/30/2020 ACH - APD - Class 2 5 6196 SE 33rd Way Gresham OR 97080 (503) 663-3877

10995 525511 Nziacharo, Isaac Joel 04/02/2021 ACH - APD - Class 2 5 11740 SE MAIN ST PORTLAND OR 97216 (503) 954-2923 2177 513459 O'Brian, Adrian 09/30/2020 ACH - APD - Class 3 5 7618 SE 114th Ave Portland OR 97266 (503) 760-9415 Resident Mgr: Kimberly Ashley Burachek

11070 527123 Olar, Priscilla Dominica 06/26/2022 ACH - APD - Class 2 5 715 NE 236th Pl Wood Vilage OR 97060 (503) 492-4430 11337 528590 Olson, Jennette Romero 07/27/2021 ACH - APD - Class 2 4 3790 SW 5th Dr Gresham OR 97030 (503) 912-3905

Prepared by DCHS-IT, Helpdesk extension 84357 Page 33 of 50 *This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*

MULTNOMAH COUNTY Department of County Human Services

Adult Care Home Program ACHP HOME REGISTRY Report Date 9/20/2021

Selection: Population: Aging and People with Disabilities Category: Adult Care Home Payment Type: Private Pay and Medicaid Classification: APD - Class 0; APD - Class 1; APD - Class 2; APD - Class 3; APD - Class 3 - Vent C; APD - Class 3 - Vent B; APD - Class 3 - Vent A

Zip Code: 97009; 97019; 97024; 97030; 97060; 97080; 97086; 97201; 97202; 97203; 97204; 97205; 97206; 97207; 97209; 97210; 97211; 97212; 97213; 97214; 97215; 97216; 97217; 97218; 97219; 9722097221; 97227; 97230; 97231; 97232; 97233; 97236; 97239; 97266

License # Provider # Operator Expire Date Classification Capacity 11390 528941 Oluoch, Antonine Atieno 07/01/2022 ACH - APD - Class 2 5 800 NE 148th Ave Portland OR 97230 (503) 477-9211

2455 510972 Onofrei, Lucretia 05/08/2021 ACH - APD - Class 2 5 2845 SE 153rd Ave Portland OR 97236 (503) 760-6284

2437 510692 Onofrei, Rodica 03/03/2021 ACH - APD - Class 2 5 16351 NE Holladay St Portland OR 97230 (503) 254-2725

11053 526040 Paguio, Alma Blancaflor 02/28/2021 ACH - APD - Class 2 5 12808 NE CLACKAMAS ST PORTLAND OR 97230 (503) 254-3607 10415 517707 Paladiy, Violeta P 09/07/2020 ACH - APD - Class 2 5 5420 SE Malden Dr Portland OR 97206 (503) 774-2826 1835 501491 Pasc, Ana 01/30/2021 ACH - APD - Class 3 5 360 NE 139th AVE Portland OR 97230 (503) 254-3757 1538 577259 Patan, Constanta 09/27/2020 ACH - APD - Class 3 5 13015 NE Oregon Portland OR 97230 (503) 253-0414 Resident Mgr: Ioan Patan

11155 527065 Pau, Lavinia Mariana 10/19/2020 ACH - APD - Class 3 - Vent B 4

Prepared by DCHS-IT, Helpdesk extension 84357 Page 34 of 50 *This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*

MULTNOMAH COUNTY Department of County Human Services

Adult Care Home Program ACHP HOME REGISTRY Report Date 9/20/2021

Selection: Population: Aging and People with Disabilities Category: Adult Care Home Payment Type: Private Pay and Medicaid Classification: APD - Class 0; APD - Class 1; APD - Class 2; APD - Class 3; APD - Class 3 - Vent C; APD - Class 3 - Vent B; APD - Class 3 - Vent A

Zip Code: 97009; 97019; 97024; 97030; 97060; 97080; 97086; 97201; 97202; 97203; 97204; 97205; 97206; 97207; 97209; 97210; 97211; 97212; 97213; 97214; 97215; 97216; 97217; 97218; 97219; 9722097221; 97227; 97230; 97231; 97232; 97233; 97236; 97239; 97266

License # Provider # Operator Expire Date Classification Capacity 5000 SE Regner Rd Gresham OR 97080 (503) 465-8029 1464 563135 Paul, Mariana 05/01/2021 ACH - APD - Class 3 5 2833 SE 154th Ave Portland OR 97236 (503) 760-5693 11175 527667 Paulin, Albert Caumban 02/08/2021 ACH - APD - Class 2 5 1150 SE 282nd Ave Gresham OR 97080 (971) 274-2786 10171 514376 Paveloni, Mihaela Eugenia 06/01/2022 ACH - APD - Class 3 5 9240 NE Schuyler St Portland OR 97220 (503) 254-3822 10374 525853 Paveloni, Mihaela Eugenia 10/07/2020 ACH - APD - Class 2 5 18540 SE Tibbetts Ct Gresham OR 97030 (503) 674-3585 Resident Mgr: Karina Liliana Skrobic

2297 508608 Peia, Daniela 11/15/2020 ACH - APD - Class 3 5 12115 SE Flavel Portland OR 97266 (503) 762-9846

10168 525347 Peia, Viorica 08/23/2021 ACH - APD - Class 2 5 4005 SW Scholls Ferry Rd Portland OR 97221 (503) 292-3177 Resident Mgr: Nadezhda G Palamaryuk

2383 509465 Petean, Ana 06/18/2022 ACH - APD - Class 2 5

Prepared by DCHS-IT, Helpdesk extension 84357 Page 35 of 50 *This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*

MULTNOMAH COUNTY Department of County Human Services

Adult Care Home Program ACHP HOME REGISTRY Report Date 9/20/2021

Selection: Population: Aging and People with Disabilities Category: Adult Care Home Payment Type: Private Pay and Medicaid Classification: APD - Class 0; APD - Class 1; APD - Class 2; APD - Class 3; APD - Class 3 - Vent C; APD - Class 3 - Vent B; APD - Class 3 - Vent A

Zip Code: 97009; 97019; 97024; 97030; 97060; 97080; 97086; 97201; 97202; 97203; 97204; 97205; 97206; 97207; 97209; 97210; 97211; 97212; 97213; 97214; 97215; 97216; 97217; 97218; 97219; 9722097221; 97227; 97230; 97231; 97232; 97233; 97236; 97239; 97266

License # Provider # Operator Expire Date Classification Capacity 1838 NE 143rd Ave Portland OR 97230 (503) 257-6032 10778 524865 Phoukeo, Diana Lou Laygo 11/04/2020 ACH - APD - Class 3 5 400 SE 15th St Gresham OR 97080 (503) 328-6491 Resident Mgr: Norma Asa Laygo

10252 510811 Pisica, Magdalena 03/31/2021 ACH - APD - Class 2 5 6248 SW Hamilton St Portland OR 97221 (503) 297-4546 11254 528031 Pisica, Magdalena 05/08/2021 ACH - APD - Class 2 5 6232 SW Hamilton St Portland OR 97221 (503) 954-1720 Resident Mgr: Aurica Banica

10442 517648 Pocol, Denise Gabrielle 09/03/2020 ACH - APD - Class 2 5 217 NW Royal Ave Gresham OR 97030 (503) 674-6825 10678 523331 Pocol, Simona 12/11/2021 ACH - APD - Class 3 5 1269 NE 162nd Ave Portland OR 97230 (503) 255-0201

2253 538504 Pocol, Veronica 03/02/2021 ACH - APD - Class 3 5 1404 SE 143rd Pl Portland OR 97233 (503) 258-9464

10132 513892 Pop, Lidia 03/31/2021 ACH - APD - Class 3 5

Prepared by DCHS-IT, Helpdesk extension 84357 Page 36 of 50 *This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*

MULTNOMAH COUNTY Department of County Human Services

Adult Care Home Program ACHP HOME REGISTRY Report Date 9/20/2021

Selection: Population: Aging and People with Disabilities Category: Adult Care Home Payment Type: Private Pay and Medicaid Classification: APD - Class 0; APD - Class 1; APD - Class 2; APD - Class 3; APD - Class 3 - Vent C; APD - Class 3 - Vent B; APD - Class 3 - Vent A

Zip Code: 97009; 97019; 97024; 97030; 97060; 97080; 97086; 97201; 97202; 97203; 97204; 97205; 97206; 97207; 97209; 97210; 97211; 97212; 97213; 97214; 97215; 97216; 97217; 97218; 97219; 9722097221; 97227; 97230; 97231; 97232; 97233; 97236; 97239; 97266

License # Provider # Operator Expire Date Classification Capacity 626 NE 155th Ave Portland OR 97230 (503) 252-8707 10126 513496 Porter, Cindy Kay 12/18/2020 ACH - APD - Class 2 5 1409 NE 114th Ave Portland OR 97220 (503) 408-7622 10210 507403 Posteuca, Eugenia 12/28/2021 ACH - APD - Class 2 5 15335 NE GLISAN ST PORTLAND OR 97230 (503) 254-4781 1632 589424 Posteuca, Lidia M 11/07/2020 ACH - APD - Class 3 5 3013 SE 138th Portland OR 97236 (503) 761-7648 Resident Mgr: Petre Emanuel Gurau

10416 517498 Preda, Rica 08/23/2022 ACH - APD - Class 2 5 380 NE 178th Ave Portland OR 97230 (503) 666-6987 10099 513109 Quach, Phuoc Thi 09/10/2020 ACH - APD - Class 2 5 16690 SE Naegeli Dr Portland OR 97236 (503) 491-8105

1689 566448 Rafai, Veronica Magda 11/08/2020 ACH - APD - Class 2 5 1217 NE Magda Ln Portland OR 97230 (503) 257-6843

1848 502984 Richardson, Betty Mae 10/15/2020 ACH - APD - Class 3 5 14235 SE Mill St Portland OR 97233

Prepared by DCHS-IT, Helpdesk extension 84357 Page 37 of 50 *This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*

MULTNOMAH COUNTY Department of County Human Services

Adult Care Home Program ACHP HOME REGISTRY Report Date 9/20/2021

Selection: Population: Aging and People with Disabilities Category: Adult Care Home Payment Type: Private Pay and Medicaid Classification: APD - Class 0; APD - Class 1; APD - Class 2; APD - Class 3; APD - Class 3 - Vent C; APD - Class 3 - Vent B; APD - Class 3 - Vent A

Zip Code: 97009; 97019; 97024; 97030; 97060; 97080; 97086; 97201; 97202; 97203; 97204; 97205; 97206; 97207; 97209; 97210; 97211; 97212; 97213; 97214; 97215; 97216; 97217; 97218; 97219; 9722097221; 97227; 97230; 97231; 97232; 97233; 97236; 97239; 97266

License # Provider # Operator Expire Date Classification Capacity (503) 257-7418 Resident Mgr: Rhonda Ellen Richardson

11061 526135 Rickman, Suschia Suzzette 05/11/2021 ACH - APD - Class 2 5 11608 NE San Rafael St. Portland OR 97220 (503) 252-0381 2175 506133 Rillera, Felipa Rombaoa 07/11/2022 ACH - APD - Class 3 5 5120 SE 48th Ave Portland OR 97206 (503) 777-7906 2288 525695 Rillera, Gregorio Cacayan 07/11/2022 ACH - APD - Class 3 5 5128 SE 48th Ave Portland OR 97206 (503) 772-2020 Resident Mgr: Nilda Rillera Rasca

11122 526719 Rillera, Gregorio Cacayan 03/09/2021 ACH - APD - Class 2 5 3206 SE 160th AVE PORTLAND OR 97236 (503) 954-1990 11236 527914 Rillera, Jerome Evens Rombaoa 02/19/2021 ACH - APD - Class 2 5 11915 SE Powell Blvd Portland OR 97266 (503) 327-8972 11323 528475 Rillera, John Elbert Rombaoa 04/15/2021 ACH - APD - Class 2 5 1921 SE 117th Ave Portland OR 97216 (503) 206-5501 11046 525996 Rissa, Abraham Gurmesa 01/20/2022 ACH - APD - Class 3 5 329 NE 188TH AVE PORTLAND OR 97230

Prepared by DCHS-IT, Helpdesk extension 84357 Page 38 of 50 *This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*

MULTNOMAH COUNTY Department of County Human Services

Adult Care Home Program ACHP HOME REGISTRY Report Date 9/20/2021

Selection: Population: Aging and People with Disabilities Category: Adult Care Home Payment Type: Private Pay and Medicaid Classification: APD - Class 0; APD - Class 1; APD - Class 2; APD - Class 3; APD - Class 3 - Vent C; APD - Class 3 - Vent B; APD - Class 3 - Vent A

Zip Code: 97009; 97019; 97024; 97030; 97060; 97080; 97086; 97201; 97202; 97203; 97204; 97205; 97206; 97207; 97209; 97210; 97211; 97212; 97213; 97214; 97215; 97216; 97217; 97218; 97219; 9722097221; 97227; 97230; 97231; 97232; 97233; 97236; 97239; 97266

License # Provider # Operator Expire Date Classification Capacity (971) 274-3964 Resident Mgr: Jacoby Brhande Demissie

11248 528068 Rissa, Abraham Gurmesa 04/21/2021 ACH - APD - Class 3 5 16235 SE Clinton St Portland OR 97236 (971) 202-7341 11300 528285 Riungu, Lucy M 11/18/2020 ACH - APD - Class 2 5 2436 SE 87th Ave Portland OR 97216 (971) 373-8051 10726 583638 Rivera, Olivia Halili 07/10/2022 ACH - APD - Class 2 5 3717 SE 174th Ave Portland OR 97236 (503) 489-5218 10514 518463 Roshu, Tudor Catalin 01/05/2021 ACH - APD - Class 3 5 13146 SE Blackberry Cir Portland OR 97236 (503) 760-7713 Resident Mgr: Melanie Maria Roshu

1315 555776 Rotari, Veronica 05/24/2021 ACH - APD - Class 3 4 12541 SE Mill St Portland OR 97233 (503) 254-5832 10991 525497 Salcedo, Maria Teresa Banez 02/26/2021 ACH - APD - Class 3 5 17009 SE Kelly St Portland OR 97236 (503) 206-4595 11091 526499 Samuel, Ataklti Andemariam 09/06/2020 ACH - APD - Class 3 5 15915 NE Glisan St Portland OR 97230

Prepared by DCHS-IT, Helpdesk extension 84357 Page 39 of 50 *This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*

MULTNOMAH COUNTY Department of County Human Services

Adult Care Home Program ACHP HOME REGISTRY Report Date 9/20/2021

Selection: Population: Aging and People with Disabilities Category: Adult Care Home Payment Type: Private Pay and Medicaid Classification: APD - Class 0; APD - Class 1; APD - Class 2; APD - Class 3; APD - Class 3 - Vent C; APD - Class 3 - Vent B; APD - Class 3 - Vent A

Zip Code: 97009; 97019; 97024; 97030; 97060; 97080; 97086; 97201; 97202; 97203; 97204; 97205; 97206; 97207; 97209; 97210; 97211; 97212; 97213; 97214; 97215; 97216; 97217; 97218; 97219; 9722097221; 97227; 97230; 97231; 97232; 97233; 97236; 97239; 97266

License # Provider # Operator Expire Date Classification Capacity (503) 252-6419 11123 526747 Sanchez, Maribeth Dumindin 03/29/2021 ACH - APD - Class 3 5 3135 SE 160th Ave Portland OR 97236 (971) 279-2310 Resident Mgr: Sharlene Marie D. Ibay

11304 528314 Sanchez, Maribeth Dumindin 12/04/2021 ACH - APD - Class 3 5 2427 NE 148th Ave Portland OR 97230 (971) 279-2310 Resident Mgr: Geselle Dumindin Ibay

11132 526901 Sanchez, Sefora 06/25/2020 ACH - APD - Class 3 - Vent A 5 3871 NW 3rd St Gresham OR 97030 (503) 661-1399 1621 585716 Sarbovan, Georgeta 05/29/2021 ACH - APD - Class 3 5 1818 SE 114th Pl Portland OR 97216 (503) 254-3308 11167 527196 Sebhatu, Hirity Samuel 01/08/2021 ACH - APD - Class 2 5 1214 SE 144th Ave Portland OR 97233 (503) 208-2423 10515 518585 Selea, Daniela 07/21/2020 ACH - APD - Class 3 5 17948 SE Mill Ct Portland OR 97233 (503) 761-6211 1428 570163 Seman, Silvia 02/02/2022 ACH - APD - Class 2 5 14711 SE Rhine St Portland OR 97236

Prepared by DCHS-IT, Helpdesk extension 84357 Page 40 of 50 *This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*

MULTNOMAH COUNTY Department of County Human Services

Adult Care Home Program ACHP HOME REGISTRY Report Date 9/20/2021

Selection: Population: Aging and People with Disabilities Category: Adult Care Home Payment Type: Private Pay and Medicaid Classification: APD - Class 0; APD - Class 1; APD - Class 2; APD - Class 3; APD - Class 3 - Vent C; APD - Class 3 - Vent B; APD - Class 3 - Vent A

Zip Code: 97009; 97019; 97024; 97030; 97060; 97080; 97086; 97201; 97202; 97203; 97204; 97205; 97206; 97207; 97209; 97210; 97211; 97212; 97213; 97214; 97215; 97216; 97217; 97218; 97219; 9722097221; 97227; 97230; 97231; 97232; 97233; 97236; 97239; 97266

License # Provider # Operator Expire Date Classification Capacity (503) 760-5982 1882 503051 Serac, Maria 06/11/2022 ACH - APD - Class 2 1 14041 E Burnside St Portland OR 97233 (503) 257-0427 10350 517068 Seulean, Florin Benjamin 10/22/2020 ACH - APD - Class 2 3 4625 SE Powell Valley Rd Gresham OR 97080 (503) 465-8347 2432 507523 Seulean, Silvia 01/16/2021 ACH - APD - Class 3 5 4661 SE Powell Valley Rd Gresham OR 97080 (503) 491-8486 10931 525247 Shalung, Tsering Yangzom 05/11/2021 ACH - APD - Class 3 5 424 NE 148th Ave Portland OR 97230 (503) 253-7658 11272 528168 Shepherd, Ella 08/12/2020 ACH - APD - Class 3 5 1868 NE 114th Pl Portland OR 97220 (503) 253-0780 10450 517687 Simon, Benedict 09/26/2020 ACH - APD - Class 3 5 353 SE Ankeny Cir Portland OR 97233 (503) 760-1812 11288 528242 Sitton, Sherly Cruz 10/09/2020 ACH - APD - Class 2 5 3718 SE 162nd Ave Portland OR 97236 (971) 229-0619 10003 574728 Smolinets, Lyudmila I 08/29/2020 ACH - APD - Class 3 4

Prepared by DCHS-IT, Helpdesk extension 84357 Page 41 of 50 *This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*

MULTNOMAH COUNTY Department of County Human Services

Adult Care Home Program ACHP HOME REGISTRY Report Date 9/20/2021

Selection: Population: Aging and People with Disabilities Category: Adult Care Home Payment Type: Private Pay and Medicaid Classification: APD - Class 0; APD - Class 1; APD - Class 2; APD - Class 3; APD - Class 3 - Vent C; APD - Class 3 - Vent B; APD - Class 3 - Vent A

Zip Code: 97009; 97019; 97024; 97030; 97060; 97080; 97086; 97201; 97202; 97203; 97204; 97205; 97206; 97207; 97209; 97210; 97211; 97212; 97213; 97214; 97215; 97216; 97217; 97218; 97219; 9722097221; 97227; 97230; 97231; 97232; 97233; 97236; 97239; 97266

License # Provider # Operator Expire Date Classification Capacity 15730 SE Bybee Dr Portland OR 97236 (971) 279-5606 1872 513448 Somesan, Rodica 05/01/2021 ACH - APD - Class 2 5 805 NE 118th Ave Portland OR 97220 (503) 254-5300 1656 589403 Somlea, Eugenia 10/01/2020 ACH - APD - Class 3 5 254 NE 106th Ave Portland OR 97220 (503) 253-7453 Resident Mgr: Sergiu Matias

10992 525536 Stana, Viorica Paladi 03/15/2022 ACH - APD - Class 2 5 12704 SE Market St Portland OR 97233 (503) 253-3015 2212 506445 Stanculescu, Graziella Carmen 11/21/2020 ACH - APD - Class 3 - Vent A 5 2250 NW 8th Ct Gresham OR 97030 (503) 667-6285 1533 577242 Stanescu, Felicia 08/31/2020 ACH - APD - Class 3 3 12720 SE Washington Ct Portland OR 97233 (503) 254-8162

2441 511887 Stoica, Loredana 03/20/2021 ACH - APD - Class 3 5 4507 SE Ogden St Portland OR 97206 (503) 777-7373

10095 513274 Strava, Mioara 10/15/2020 ACH - APD - Class 3 5 5509 SE 140th Pl Portland OR 97236

Prepared by DCHS-IT, Helpdesk extension 84357 Page 42 of 50 *This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*

MULTNOMAH COUNTY Department of County Human Services

Adult Care Home Program ACHP HOME REGISTRY Report Date 9/20/2021

Selection: Population: Aging and People with Disabilities Category: Adult Care Home Payment Type: Private Pay and Medicaid Classification: APD - Class 0; APD - Class 1; APD - Class 2; APD - Class 3; APD - Class 3 - Vent C; APD - Class 3 - Vent B; APD - Class 3 - Vent A

Zip Code: 97009; 97019; 97024; 97030; 97060; 97080; 97086; 97201; 97202; 97203; 97204; 97205; 97206; 97207; 97209; 97210; 97211; 97212; 97213; 97214; 97215; 97216; 97217; 97218; 97219; 9722097221; 97227; 97230; 97231; 97232; 97233; 97236; 97239; 97266

License # Provider # Operator Expire Date Classification Capacity (503) 761-6861 11367 528726 Strizu, Nathan Jonathan 12/08/2021 ACH - APD - Class 1 4 18520 SE Tibbetts Ct Gresham OR 97030 (503) 669-7240 Resident Mgr: Lidia Strizu

11393 528961 Suveges, Horia Marius 07/14/2022 ACH - APD - Class 2 5 1912 NE 116th Pl Portland OR 97220 (503) 256-7081 2401 509882 Szabo, Flory 09/20/2020 ACH - APD - Class 2 5 16828 SE Kelly St Portland OR 97236 (503) 762-1673 11230 527795 Tafa, Melat Worku 12/10/2021 ACH - APD - Class 2 5 826 SE 223rd Ave Gresham OR 97030 (503) 912-3346 1593 516353 Talpos, Lidia 03/21/2021 ACH - APD - Class 2 5 12705 SE Lincoln Portland OR 97233 (503) 254-5065 11352 528670 Terfassa, Temesgen Tunka 10/18/2021 ACH - APD - Class 3 5 3742 SW Pasadena St Portland OR 97219 (503) 245-4881 11357 528691 Thairu, Rosemary Muthoni 11/01/2021 ACH - APD - Class 2 5 944 NE 118th Ave Portland OR 97220 (503) 477-5115

Prepared by DCHS-IT, Helpdesk extension 84357 Page 43 of 50 *This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*

MULTNOMAH COUNTY Department of County Human Services

Adult Care Home Program ACHP HOME REGISTRY Report Date 9/20/2021

Selection: Population: Aging and People with Disabilities Category: Adult Care Home Payment Type: Private Pay and Medicaid Classification: APD - Class 0; APD - Class 1; APD - Class 2; APD - Class 3; APD - Class 3 - Vent C; APD - Class 3 - Vent B; APD - Class 3 - Vent A

Zip Code: 97009; 97019; 97024; 97030; 97060; 97080; 97086; 97201; 97202; 97203; 97204; 97205; 97206; 97207; 97209; 97210; 97211; 97212; 97213; 97214; 97215; 97216; 97217; 97218; 97219; 9722097221; 97227; 97230; 97231; 97232; 97233; 97236; 97239; 97266

License # Provider # Operator Expire Date Classification Capacity 11074 526263 Thapa Magar, Manju 07/04/2021 ACH - APD - Class 1 4 1032 NE 174TH AVENUE PORTLAND OR 97230 (503) 255-2286

11348 528681 Thapa, Padam Jung 09/15/2021 ACH - APD - Class 1 5 16336 NE Multnomah Portland OR 97230 (503) 954-2168

11275 528170 Thuo, John Mwangi 08/19/2020 ACH - APD - Class 2 5 2916 SE 136th Ave Portland OR 97236 (503) 206-6313

11365 528722 Thuo, Veronica Wambui 12/01/2021 ACH - APD - Class 2 5 550 NE 148th Ave Portland OR 97233 (971) 865-5951 10937 525328 Tibeso, Birhanu Kuri 10/30/2020 ACH - APD - Class 3 5 5255 SE Cooper St Portland OR 97206 (503) 772-5022 1298 553037 Tiganescu, Florica 04/28/2021 ACH - APD - Class 3 5 4636 SE 136th Ave Portland OR 97236 (503) 760-1449 10390 516887 Tigu, Dorina 12/31/2021 ACH - APD - Class 2 5 11847 SE Alder St Portland OR 97216 (503) 253-6719 2359 509538 Tigu, Lidia 03/29/2022 ACH - APD - Class 2 5 3552 SE 65th Ave Portland OR 97206

Prepared by DCHS-IT, Helpdesk extension 84357 Page 44 of 50 *This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*

MULTNOMAH COUNTY Department of County Human Services

Adult Care Home Program ACHP HOME REGISTRY Report Date 9/20/2021

Selection: Population: Aging and People with Disabilities Category: Adult Care Home Payment Type: Private Pay and Medicaid Classification: APD - Class 0; APD - Class 1; APD - Class 2; APD - Class 3; APD - Class 3 - Vent C; APD - Class 3 - Vent B; APD - Class 3 - Vent A

Zip Code: 97009; 97019; 97024; 97030; 97060; 97080; 97086; 97201; 97202; 97203; 97204; 97205; 97206; 97207; 97209; 97210; 97211; 97212; 97213; 97214; 97215; 97216; 97217; 97218; 97219; 9722097221; 97227; 97230; 97231; 97232; 97233; 97236; 97239; 97266

License # Provider # Operator Expire Date Classification Capacity (503) 771-6936 2184 506197 Tigu, Mihaela Luminita 09/23/2020 ACH - APD - Class 3 5 1465 SE 5th St Gresham OR 97080 (503) 661-6866 2345 514110 Tigu, Peter 03/27/2021 ACH - APD - Class 3 5 431 SE Hale Dr Gresham OR 97080 (503) 666-0534 2392 511467 Tigu, Stefan 07/24/2021 ACH - APD - Class 2 5 1835 SE 114th Pl Portland OR 97216 (503) 252-0945 2169 505855 Tina, Nadia 06/01/2022 ACH - APD - Class 3 5 7047 SE Clatsop St Portland OR 97206 (503) 774-6390 10889 523414 Ting, Andrew Kin Wing 10/21/2020 ACH - APD - Class 2 5 18169 SE Richey Rd Gresham OR 97080 (503) 492-7442 1358 562988 Tisler, Stela Teodora 09/14/2020 ACH - APD - Class 3 4 6440 SE 84th Pl Portland OR 97266 (503) 771-8616 10115 513535 Todor, Lidia 12/31/2021 ACH - APD - Class 2 5 1816 SE 117th Ave Portland OR 97216 (503) 257-6812 11004 526166 Tolan, Roxana Adina 05/20/2021 ACH - APD - Class 2 5

Prepared by DCHS-IT, Helpdesk extension 84357 Page 45 of 50 *This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*

MULTNOMAH COUNTY Department of County Human Services

Adult Care Home Program ACHP HOME REGISTRY Report Date 9/20/2021

Selection: Population: Aging and People with Disabilities Category: Adult Care Home Payment Type: Private Pay and Medicaid Classification: APD - Class 0; APD - Class 1; APD - Class 2; APD - Class 3; APD - Class 3 - Vent C; APD - Class 3 - Vent B; APD - Class 3 - Vent A

Zip Code: 97009; 97019; 97024; 97030; 97060; 97080; 97086; 97201; 97202; 97203; 97204; 97205; 97206; 97207; 97209; 97210; 97211; 97212; 97213; 97214; 97215; 97216; 97217; 97218; 97219; 9722097221; 97227; 97230; 97231; 97232; 97233; 97236; 97239; 97266

License # Provider # Operator Expire Date Classification Capacity 4067 NW 1st St Gresham OR 97030 (503) 618-8013 11008 525708 Torrence, Daniel Earnest 07/04/2021 ACH - APD - Class 2 5 11535 NE Pacific St Portland OR 97220 (971) 319-6670 2211 508592 Tudorache, Floare 10/31/2020 ACH - APD - Class 3 5 2387 NE 148th Ave Portland OR 97230 (503) 255-6060 1048 534599 Tudorache, Silvia 10/21/2020 ACH - APD - Class 3 5 3723 SE 74th Portland OR 97206 (503) 774-3894 11068 526188 Tufisi, Andreea Madalina 06/02/2022 ACH - APD - Class 3 5 11838 NE Russell St Portland OR 97220 (503) 255-7764 11101 526622 Tulu, Lelise Sado 11/30/2020 ACH - APD - Class 3 5 105 SE 151st Ave Portland OR 97233 (503) 206-5360 Resident Mgr: Kulule Birratu Gammada

10224 514918 Turc, Anna 04/03/2021 ACH - APD - Class 2 5 20904 SE Clay Ct Gresham OR 97030 (503) 666-5875

10241 528527 Turcas, Veronica 05/20/2021 ACH - APD - Class 3 5 855 NE 112th Ave Portland OR 97220

Prepared by DCHS-IT, Helpdesk extension 84357 Page 46 of 50 *This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*

MULTNOMAH COUNTY Department of County Human Services

Adult Care Home Program ACHP HOME REGISTRY Report Date 9/20/2021

Selection: Population: Aging and People with Disabilities Category: Adult Care Home Payment Type: Private Pay and Medicaid Classification: APD - Class 0; APD - Class 1; APD - Class 2; APD - Class 3; APD - Class 3 - Vent C; APD - Class 3 - Vent B; APD - Class 3 - Vent A

Zip Code: 97009; 97019; 97024; 97030; 97060; 97080; 97086; 97201; 97202; 97203; 97204; 97205; 97206; 97207; 97209; 97210; 97211; 97212; 97213; 97214; 97215; 97216; 97217; 97218; 97219; 9722097221; 97227; 97230; 97231; 97232; 97233; 97236; 97239; 97266

License # Provider # Operator Expire Date Classification Capacity (503) 255-7263 Resident Mgr: Domnica Plesciuc

10393 505769 Vesa, Anca Corina 03/14/2021 ACH - APD - Class 2 5 4616 SW 42nd Pl Portland OR 97221 (503) 254-5096 10204 507770 Vesa, Dana 01/03/2021 ACH - APD - Class 3 5 822 NE 117th Ave Portland OR 97220 (503) 408-1653 Resident Mgr: Loredana Stoica

10367 516549 Vidican, Adrian Marius 08/31/2020 ACH - APD - Class 2 5 4124 NE 136th Ave Portland OR 97230 (503) 719-5642 Resident Mgr: Svetlana Yurivna Vidican

902 530634 Vidican, JR, Gheorghe 04/30/2020 ACH - APD - Class 3 5 10605 NE Thompson St Portland OR 97220 (503) 255-6985 2201 506624 Vlad, Victoria 11/16/2020 ACH - APD - Class 2 5 15241 NE Broadway St Portland OR 97230 (503) 252-9366 11332 528573 Wakiria, Eutycus 06/28/2021 ACH - APD - Class 2 5 12145 SE Flavel St Portland OR 97266 (503) 719-4977 11237 527888 Wambui, Milkah Wanjiku 02/28/2021 ACH - APD - Class 2 5

Prepared by DCHS-IT, Helpdesk extension 84357 Page 47 of 50 *This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*

MULTNOMAH COUNTY Department of County Human Services

Adult Care Home Program ACHP HOME REGISTRY Report Date 9/20/2021

Selection: Population: Aging and People with Disabilities Category: Adult Care Home Payment Type: Private Pay and Medicaid Classification: APD - Class 0; APD - Class 1; APD - Class 2; APD - Class 3; APD - Class 3 - Vent C; APD - Class 3 - Vent B; APD - Class 3 - Vent A

Zip Code: 97009; 97019; 97024; 97030; 97060; 97080; 97086; 97201; 97202; 97203; 97204; 97205; 97206; 97207; 97209; 97210; 97211; 97212; 97213; 97214; 97215; 97216; 97217; 97218; 97219; 9722097221; 97227; 97230; 97231; 97232; 97233; 97236; 97239; 97266

License # Provider # Operator Expire Date Classification Capacity 1212 SE 282nd Ave Gresham OR 97080 (503) 665-0792 11387 528895 Wamwaki, Stephen Gikonyo 05/13/2022 ACH - APD - Class 1 5 1875 SW Eastwood Ave Gresham OR 97080 (971) 274-3051 11328 528530 Wangugi, Grace Wahu 05/31/2021 ACH - APD - Class 2 5 15849 NE Halsey St Portland OR 97230 (503) 432-8434 11223 527751 Wangugi, Susan Wanjiku 11/14/2020 ACH - APD - Class 2 5 16930 SE Kelly St Portland OR 97236 (503) 719-5321 10910 524980 Waritu, Petros 12/01/2021 ACH - APD - Class 3 5 2700 NE 17th St Gresham OR 97030 (503) 661-7218 11325 528507 Wilson, Lydia Waithera 04/30/2021 ACH - APD - Class 2 5 415 SE 76th Ave Portland OR 97215 (503) 477-8943

2402 509838 Wilson, Petronela B 09/27/2020 ACH - APD - Class 2 3 3259 SE 5th St Gresham OR 97080 (503) 674-2489

10225 514826 Winkler, Daniela 03/03/2022 ACH - APD - Class 2 5 17711 SE Haig Dr Portland OR 97236 (503) 761-0289

Prepared by DCHS-IT, Helpdesk extension 84357 Page 48 of 50 *This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*

MULTNOMAH COUNTY Department of County Human Services

Adult Care Home Program ACHP HOME REGISTRY Report Date 9/20/2021

Selection: Population: Aging and People with Disabilities Category: Adult Care Home Payment Type: Private Pay and Medicaid Classification: APD - Class 0; APD - Class 1; APD - Class 2; APD - Class 3; APD - Class 3 - Vent C; APD - Class 3 - Vent B; APD - Class 3 - Vent A

Zip Code: 97009; 97019; 97024; 97030; 97060; 97080; 97086; 97201; 97202; 97203; 97204; 97205; 97206; 97207; 97209; 97210; 97211; 97212; 97213; 97214; 97215; 97216; 97217; 97218; 97219; 9722097221; 97227; 97230; 97231; 97232; 97233; 97236; 97239; 97266

License # Provider # Operator Expire Date Classification Capacity 10482 518003 Wolfe, Baby Gerasol 01/13/2021 ACH - APD - Class 2 5 97 NW Royal Ave Gresham OR 97030 (503) 669-2156

10763 524349 Woticha, Feyissa Abdella 02/19/2021 ACH - APD - Class 2 5 15130 SE Sherman St Portland OR 97233 (503) 760-7470

11088 526374 Yadeto, Gelgelu Mebrat 08/29/2020 ACH - APD - Class 3 5 8733 SE Harney ST Portland OR 97266 (503) 719-4272

11338 528649 Yetbarek, Rahel Tsehaye 07/30/2022 ACH - APD - Class 2 3 16914 SE Pine St Portland OR 97233 (503) 327-8667 10651 522587 Zialcita, Maria Asa 03/08/2021 ACH - APD - Class 2 5 3281 SE 5th St Gresham OR 97080 (503) 328-8412 Resident Mgr: Frediswinda Asa Zialcita

11042 525945 Zialcita, Raymond Asa 11/30/2020 ACH - APD - Class 2 5 515 SE Paropa Pl Gresham OR 97080 (503) 492-4071

Total: 353

Prepared by DCHS-IT, Helpdesk extension 84357 Page 49 of 50 *This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*

MULTNOMAH COUNTY Department of County Human Services

Adult Care Home Program ACHP HOME REGISTRY Report Date 9/20/2021

Selection: Population: Aging and People with Disabilities Category: Adult Care Home Payment Type: Private Pay and Medicaid Classification: APD - Class 0; APD - Class 1; APD - Class 2; APD - Class 3; APD - Class 3 - Vent C; APD - Class 3 - Vent B; APD - Class 3 - Vent A

Zip Code: 97009; 97019; 97024; 97030; 97060; 97080; 97086; 97201; 97202; 97203; 97204; 97205; 97206; 97207; 97209; 97210; 97211; 97212; 97213; 97214; 97215; 97216; 97217; 97218; 97219; 9722097221; 97227; 97230; 97231; 97232; 97233; 97236; 97239; 97266

ADLs - Activities of Daily Living

APD Class 0 - Unclassified APD Class 1 - Assistance in 4 or fewer ADLs APD Class 2 - Assistance in all, dependent in 3 or fewer ADLs APD Class 3 - Assistance in all, dependent in 4 or more ADLs APD Class 3 Vent A - May admit 1 residents requiring Ventilator Care APD Class 3 Vent B - May admit up to 3 residents requiring Ventilator Care APD Class 3 Vent C - May admit up to 5 residents requiring Ventilator Care

Prepared by DCHS-IT, Helpdesk extension 84357 Page 50 of 50