Individual
BERHANE MEBRATU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9495 SW LOCUST ST STE G, PORTLAND, OR 97223-6683
(559) 321-2800
(559) 321-2780
Mailing address
9495 SW LOCUST ST STE G, PORTLAND, OR 97223-6683
(971) 314-4899
(971) 314-4798
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
NP95006949
CA
363L00000X
Nurse Practitioner
Primary
10022270
OR
363L00000X
Nurse Practitioner
NP95006949
CA
Other
Enumeration date
01/25/2018
Last updated
11/27/2024
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