Individual
KETEMA GELANEW DADI SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1107 NW 15TH ST APT 138, GRESHAM, OR 97030-4886
(408) 655-1393
Mailing address
1107 NW 15TH ST APT 138, GRESHAM, OR 97030-4886
(408) 655-1393
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
E237184
OR
Other
Enumeration date
12/30/2025
Last updated
12/30/2025
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