Individual provider · Type 1 NPI
Habtamu Lemessa Egata
Psychiatric/Mental Health Nurse Practitioner · Portland, OR
NPI number
1831067776
Active
Practice location
2480 SE Tarbell Ave
Portland, OR 97267-4549
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 10052309 (OR) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1831067776
Habtamu Lemessa Egata's National Provider Identifier is 1831067776, issued on Oct 23, 2025. 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 Oct 23, 2025.