Individual
MR. SAMSON MEHRETEAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
4453 NE FAILING ST, PORTLAND, OR 97213-1055
(606) 264-9111
(503) 281-4072
Mailing address
4453 NE FAILING ST, PORTLAND, OR 97213-1055
(606) 264-9111
(503) 281-4072
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201701952RN
OR
Other
Enumeration date
11/18/2025
Last updated
11/18/2025
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