Individual
FANA HABTEMARIAM OGBAZGI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1860 SE 104TH AVE, PORTLAND, OR 97216-2906
(971) 339-3857
Mailing address
1860 SE 104TH AVE, PORTLAND, OR 97216-2906
(971) 339-3857
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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