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NPI Code Detail

MEDICARE: MAMIE NZIGIRE ZAGABE

MEDICARE: MAMIE NZIGIRE ZAGABE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health WorkerOR

General Provider Information

NPI Number : 1538773155
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAMIE NZIGIRE ZAGABE
Provider Business Mailing Address
First Line : 12710 SE DIVISION ST
Second Line :
City : PORTLAND
State : OR
Zip : 97236-3134
Country : US
Telephone Number : 503-988-5558
Fax Number : 503-988-5810
Provider Business Practice Location Address
First Line : 12710 SE DIVISION ST
Second Line :
City : PORTLAND
State : OR
Zip : 97236-3134
Country : US
Telephone Number : 503-988-5558
Fax Number : 503-988-5810
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2020
Last Update Date : 03/12/2026

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Directions to “ MAMIE NZIGIRE ZAGABE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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