*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 Ioan 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