NPI 1265189914

Kalkidan G Ezra

Practitioner Adult Care Home Facility Oregon City, OR

Practice location

Address: 13325 Roseberry Ave, Oregon City, OR 97045-4239
Phone: (503) 303-7685
Fax: (503) 908-8401

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

Other Custodial Care Facility providers in Oregon →

Registry record

NPI: 1265189914
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Mar 2022
Record last updated: 3 Mar 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.