Organization
MATTHEW'S FAMILY PRIMARY CARE, LLC
Active
Other names
Matthew's Family Primary Care, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERHANU EJIGU KEDEDA FNP, AGACNP, DNP (OWNER, DIRECTOR)
(678) 793-8808
Entity
Organization
Contact information
Practice address
18514 SE WILMOT ST UNIT B, MILWAUKIE, OR 97267-6426
(678) 793-8808
Mailing address
18514 SE WILMOT ST UNIT B, MILWAUKIE, OR 97267-6426
(678) 793-8808
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
10/23/2024
Last updated
11/26/2024
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