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
—
Last updated
August 5, 2026

Gemechis Abdissa is a Nurse Practitioner, Psych/Mental Health based in Portland, OR. The NPI number for Gemechis Abdissa is 1801710660 and holds license No. 10064004 (OR). The current practice location address is 11125 NE Sandy Blvd, Portland, OR 97220-2555 and the office can be reached by phone at 971-431-6436. The NPI was assigned on August 5, 2026 and the record was last updated in NPPES on August 5, 2026.

●Provider Profile Details

NPI Number
1801710660
Provider Name
Gemechis Abdissa
Entity Type
Individual (Type 1 NPI)
Gender
Male
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
Yes
Enumeration Date
August 5, 2026
Last Update Date
August 5, 2026
Certification Date
August 5, 2026
NPI Status
Active

◉Business Practice Location Address

Address
11125 NE Sandy Blvd
Portland, OR 97220-2555
State
Oregon
ZIP
97220-2555
Country
US
Phone Number
971-431-6436

Get directions →

✉Business Mailing Address

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

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Nurse Practitioner, Psych/Mental Health
193400000X - Single Specialty Group
363LP0808XYes10064004OR

#Other Provider Identifiers

No legacy or other 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) and holds license No. 10064004 (OR).

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 at npiregistry.cms.hhs.gov.

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