Active NPIIndividual providerSole proprietor

Gemechis Abdissa

Nurse Practitioner, Psych/Mental Health in Portland, Oregon

NPI Number1801710660
Practice location
11125 NE Sandy Blvd, Portland, OR 97220-2555
Fax
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Last updated
August 5, 2026

Gemechis Abdissa is a Nurse Practitioner, Psych/Mental Health based in Portland, OR. Gemechis Abdissa practices in Portland, OR. The NPI Number for Gemechis Abdissa is 1801710660 and holds a License No. 10064004 (OR). The current practice location address for Gemechis Abdissa is 11125 NE Sandy Blvd, Portland, OR 97220-2555 and can be reached out via phone at 971-431-6436.

Provider Profile Details

NPI Number
1801710660
Provider Name
Gemechis Abdissa
Provider Entity Type
Individual
Gender
Male
Address
11125 NE Sandy Blvd, Portland, OR 97220-2555
Phone Number
971-431-6436
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
Yes
Provider Enumeration Date
August 5, 2026
Last Update Date
August 5, 2026
Certification Date
August 5, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
11125 NE Sandy Blvd
Portland, OR 97220-2555
State
Oregon
Zip
97220-2555
Phone Number
971-431-6436
Portland, OR 97220Get directions →

Provider Business Mailing Address Details

Address
Po Box 250
Troutdale, OR 97060-0250
City
Troutdale
State
OR
Zip
97060-0250

License Information

License Number
10064004
License State
OR
Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Gemechis Abdissa?

The NPI number of Gemechis Abdissa is 1801710660. It was assigned on August 5, 2026 and is currently active in the NPPES registry.

What is the specialty of Gemechis Abdissa?

Gemechis Abdissa is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in OR under license number 10064004.

Where does Gemechis Abdissa practice?

The practice location is 11125 NE Sandy Blvd, Portland, OR 97220-2555. The office can be reached at 971-431-6436 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1801710660 directly on the NPPES registry website.

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