Individual
ELIAS ZEWDU KETEMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
329 NE 156TH AVE, PORTLAND, OR 97230-4818
(507) 351-7505
Mailing address
14211 SE 120TH PL, CLACKAMAS, OR 97015-7243
(507) 351-7505
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
OR
Other
Enumeration date
11/07/2025
Last updated
11/07/2025
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