Tigist Y Fantaye, - Counselor in Portland, OR

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Tigist Y Fantaye, is a Counselor - Mental Health based in Portland, Oregon. Tigist Y Fantaye is licensed to practice in * (Not Available) (license number ) and her current practice location is 4212 Se Division St Ste 100, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at (503) 238-0705.

NPI number for Tigist Y Fantaye is 1689209504 and her current mailing address is Po Box 8459, Portland, Oregon. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1689209504.

Contact Information

Tigist Y Fantaye,
4212 Se Division St Ste 100,
Portland, OR 97206-1680
(503) 238-0705
Not Available

Map and Direction




Provider's Profile

Full NameTigist Y Fantaye
GenderFemale
SpecialityCounselor - Mental Health
Location4212 Se Division St Ste 100, Portland, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1689209504
  • Provider Enumeration Date: 03/11/2020
  • Last Update Date: 03/11/2020

Medical Identifiers

Medical identifiers for Tigist Y Fantaye such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689209504NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 201906814RN (Oregon)Secondary
101YM0800XCounselor - Mental Health (* (Not Available))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. Tigist Y Fantaye 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 AddressPractice Location Address
Tigist Y Fantaye,
Po Box 8459,
Portland, OR 97207-8459

Ph: () -		Tigist Y Fantaye,
4212 Se Division St Ste 100,
Portland, OR 97206-1680

Ph: (503) 238-0705

Reviews and Comments



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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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