Bethel Eshetu Tadesse, is a
Nurse Practitioner - Psychiatric/mental Health based in Fairview, Oregon. Bethel Eshetu Tadesse is licensed to practice in Oregon (license number 10006696) and her current practice location is
4055 Ne 218th Ave, Fairview, Oregon. She can be reached at her office (for appointments etc.) via phone at
(240) 423-5267.
NPI number for Bethel Eshetu Tadesse is 1093572174 and her current mailing address is 4055 Ne 218th Ave, Fairview, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093572174.
Provider's Profile
Full Name | Bethel Eshetu Tadesse |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 4055 Ne 218th Ave, Fairview, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1093572174
- Provider Enumeration Date: 03/05/2024
- Last Update Date: 11/30/2024
Medical Identifiers
Medical identifiers for Bethel Eshetu Tadesse such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093572174 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 10006696 (Oregon) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 10006696 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bethel Eshetu Tadesse is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Bethel Eshetu Tadesse, 4055 Ne 218th Ave, Fairview, OR 97024-8778 Ph: (240) 423-5267 | Bethel Eshetu Tadesse, 4055 Ne 218th Ave, Fairview, OR 97024-8778 Ph: (240) 423-5267 |
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