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Individual

SIMEGN GETACHEW TADESE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
16300 NE HOLLADAY ST, PORTLAND, OR 97230-5728
(503) 250-4985
Mailing address
16300 NE HOLLADAY ST, PORTLAND, OR 97230-5728
(503) 250-4985

Taxonomy

Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary

Other

Enumeration date
08/21/2025
Last updated
08/21/2025
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