Individual provider · Type 1 NPI

Yodit A. Habtemariam

Adult Care Home Facility · Portland, OR

NPI number 1205730587 Active

Practice location

13015 NE Oregon St
Portland, OR 97230-2463

Call (503) 208-3067 Map

Fax (971) 544-7981

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620X11389 (OR)

Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

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About NPI 1205730587

Yodit A. Habtemariam's National Provider Identifier is 1205730587, issued on Oct 8, 2026. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Portland, OR. The record was last updated on Oct 8, 2026.