Individual provider · Type 1 NPI
Berhanu Kebede Bedassa, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Portland, OR
NPI number
1093260622
Active
Practice location
13250 NE Shaver St
Portland, OR 97230-1453
Other practice locations
- 12360 E Burnside St, Portland, OR 97233-1042 · (971) 279-4800
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN61256180 (WA) |
| Family Nurse Practitioner | 363LF0000X | 95004776 (CA) |
| Registered Nurse | 163W00000X | 201606248RN (OR) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP61370238 (WA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 201707152NP-PP (OR) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
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- Brooke Ann Sheehan, PMHNPPsychiatric/Mental Health Nurse Practitioner Portland, OR NPI 1023154846
About NPI 1093260622
Berhanu Kebede Bedassa, PMHNP's National Provider Identifier is 1093260622, issued on Aug 24, 2016. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Portland, OR. The record was last updated on Nov 1, 2023.