Individual
MAMIE NZIGIRE ZAGABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12710 SE DIVISION ST, PORTLAND, OR 97236-3134
(503) 988-5558
(503) 988-5810
Mailing address
12710 SE DIVISION ST, PORTLAND, OR 97236-3134
(503) 988-5558
(503) 988-5810
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
OR
175T00000X
Peer Specialist
Primary
—
OR
Other
Enumeration date
09/01/2020
Last updated
03/12/2026
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