Individual
HABTAMU LEMESSA EGATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2480 SE TARBELL AVE, PORTLAND, OR 97267-4549
(702) 741-4721
Mailing address
2480 SE TARBELL AVE, PORTLAND, OR 97267-4549
(702) 741-4721
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10052309
OR
Other
Enumeration date
10/23/2025
Last updated
10/23/2025
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