IndividualActive
Habtemariam Ketema
NPI 1316469307 · Contractor · Milwaukie, OR
Provider details
- NPI number
- 1316469307
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 526141-C (OR)
Practice location
16215 Se Webster Rd
Milwaukie, OR 97267-5254
Phone: (503) 353-7608
Fax: (503) 744-0178
Mailing address
16215 Se Webster Rd
Milwaukie, OR 97267-5254
Registry dates
- Enumerated
- 2017-07-11
- Last updated
- 2017-07-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.