ZENEBE GEDAMU
NPI 1114553898
Nurse Practitioner - Psychiatric/Mental Health in Beaverton, OR

Q: What is Zenebe Gedamu's NPI number?

The NPI number for Zenebe Gedamu is 1114553898. It was assigned to this individual provider in the NPPES registry on March 13, 2020.

Q: What is Zenebe Gedamu's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Zenebe Gedamu was last updated on June 2, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 13, 2020PECOS Enrolled

1500 NW BETHANY BLVD STE 200, BEAVERTON, OR 97006(503) 385-2918(971) 384-1771 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 2, 2026, May 12, 2026, Mar 13, 2020 (3 updates tracked since 2020).

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About Zenebe Gedamu NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ZENEBE GEDAMU (NPI 1114553898) is an individual psychiatric/mental health provider in Beaverton, Oregon, licensed in Oregon (202214981NP-PP) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114553898

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameZENEBE GEDAMU

Location Address1500 NW BETHANY BLVD STE 200Beaverton, OR 97006-5236

Mailing Address4009 Genesee PlWoodbridge, VA 22192-5367 · (703) 225-9398

Phone(503) 385-2918

Fax(971) 384-1771

Sole ProprietorNo

Enumeration DateMarch 13, 2020

Last NPPES UpdateJune 2, 20263 updates tracked since enumeration

NPPES CertifiedJune 2, 2026

✔ NPI 1114553898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in OR · 202214981NP-PP

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 1024337 (DC), 0024178703 (VA)

1500 NW BETHANY BLVD STE 200, Beaverton, OR 97006

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Zenebe Gedamu is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97006 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.51 typical visit price

range $58.99 – $176.88

Typical copayment $22.62 (range $14.74 – $44.22)

Most-billed visit code 99203

Established Patient

$103.51 typical visit price

range $19.32 – $144.79

Typical copayment $25.87 (range $4.83 – $36.19)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.