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Edlawet Fanta
NPI 1700713682 · on the registry since 2026 · sole proprietor
Practice
- Address
- 10244 Se Raymond St
Portland, OR 97266 - Phone
- (971) 320-9189
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-05-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon