Individual
GEMECHU ABRAHAM GELETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3600 NW SAMARITAN DR, CORVALLIS, OR 97330-3737
(541) 768-4906
Mailing address
3745 SW WATER AVE APT 102, PORTLAND, OR 97239-4482
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
PG199911
OR
208D00000X
General Practice Physician
Primary
MD218564
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/14/2018
Last updated
11/13/2024
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