Individual provider · Type 1 NPI
Zenebe Gedamu
Psychiatric/Mental Health Nurse Practitioner · Beaverton, OR
NPI number
1114553898
Active
Practice location
1500 NW Bethany Blvd Ste 200
Beaverton, OR 97006-5236
Fax (971) 384-1771
Mailing address
4009 Genesee Pl
Woodbridge, VA 22192-5367
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1024337 (DC) |
| Family Nurse Practitioner | 363LF0000X | 0024178703 (VA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 202214981NP-PP (OR) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1114553898
Zenebe Gedamu's National Provider Identifier is 1114553898, issued on Mar 13, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Beaverton, OR. The record was last updated on Jun 2, 2026.