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NPI 1952279812

IndividualActive

Gediyon Etafe

NPI 1952279812 · Driver · Columbia City, OR

Provider details

NPI number: 1952279812
Entity type: Individual
Primary specialty: DriverOther Service Providers
Sex: Male
Sole proprietor: Yes
License: 6167878 (OR)

Practice location

1725 1st St

Columbia City, OR 97018-9501

Phone: (510) 925-9014

More OR providers

Mailing address

1725 1st St

Columbia City, OR 97018-9501

Registry dates

Enumerated: 2025-10-23
Last updated: 2025-10-23

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Gediyon Etafe — NPI 1952279812, Columbia City, OR | NPI Central