Bedassa, Berhanu Kebede
Bedassa, Berhanu Kebede is an individual health care provider with primary practice located at 13250 Ne Shaver St , Portland OR 97230-1453. He recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Bedassa, Berhanu Kebede can be contacted via phone (213) 249-6973.Contact Information
Primary practice address
13250 Ne Shaver St
Portland OR 97230-1453
Phone: (213) 249-6973
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | RN61256180 | Washington |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 95004776 | California |
Nursing Service Providers / Registered Nurse | 163W00000X | 201606248RN | Oregon |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | AP61370238 | Washington |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 201707152NP-PP | Oregon |
Profile Details
NPI number | 1093260622 |
---|---|
LBN Legal business name | Bedassa, Berhanu Kebede |
Credentials | PMHNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 24th, 2016 |
Last updated | Nov 1st, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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