GEMECHIS ABDISSA
Individual Provider (NPI-1)
Active
Nurse Practitioner, Psych/Mental Health
Provider Information
- NPI Number
1801710660- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 11125 NE SANDY BLVD, PORTLAND, OR, 972202555
- Phone
- (971) 431-6436
Specialties & Taxonomies
Nurse Practitioner, Psych/Mental Health
Primary License: OR #10064004
All Addresses
MAILING
PO BOX 250
TROUTDALE, OR, 970600250