# MATTHEW'S FAMILY PRIMARY CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Matthew's Family Primary Care, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629899448
- **Authorized official:** DR. BERHANU EJIGU KEDEDA FNP, AGACNP, DNP (OWNER, DIRECTOR)
- **Authorized official phone:** (678) 793-8808

## Contact information

- **Practice address:** 18514 SE WILMOT ST UNIT B, MILWAUKIE, OR 97267-6426
- **Practice address phone:** (678) 793-8808
- **Mailing address:** 18514 SE WILMOT ST UNIT B, MILWAUKIE, OR 97267-6426
- **Mailing address phone:** (678) 793-8808

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261Q00000X | Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 10/23/2024
- **Last updated:** 11/26/2024