Individual
LEMLEM GEDAMU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1002 SE 142ND AVE, PORTLAND, OR 97233-2267
(503) 335-6986
Mailing address
1002 SE 142ND AVE, PORTLAND, OR 97233-2267
(503) 335-6986
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
11573
OR
Other
Enumeration date
01/08/2026
Last updated
01/08/2026
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