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Individual

DR. DEKEBO MEBRAT YADETO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
10612 SE 59TH AVE, MILWAUKIE, OR 97222-2701
(503) 915-3427
(503) 342-6217
Mailing address
10612 SE 59TH AVE, MILWAUKIE, OR 97222-2701
(503) 915-3427
(503) 342-6217

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
3890
OR
2278E1000X
Educational Certified Respiratory Therapist
P-898021
OR
253Z00000X
In Home Supportive Care Agency
Primary
15-2418
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1811234230
OTHER NPI
OR
Enumeration date
12/01/2008
Last updated
01/08/2022
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