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TIGIST Y FANTAYE
NPI 1689209504
Counselor - Mental Health in Portland, OR

Active since March 11, 2020
4212 SE DIVISION ST STE 100, PORTLAND, OR 97206(503) 238-0705 Get Directions Write a Review

NPPES record last updated: March 11, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tigist Y Fantaye NPPES

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

TIGIST Y FANTAYE (NPI 1689209504) is an individual mental health provider in Portland, Oregon and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1689209504
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTIGIST Y FANTAYE
Location Address4212 SE DIVISION ST STE 100Portland, OR 97206-1680
Mailing AddressPo Box 8459Portland, OR 97207-8459
Phone(503) 238-0705
Sole ProprietorNo
Enumeration DateMarch 11, 2020
NPPES CertifiedMarch 11, 2020
✔ NPI 1689209504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedRegistered NurseTaxonomy 163W00000X · License 201906814RN (OR)
4212 SE DIVISION ST STE 100, Portland, OR 97206
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NIGEL PATRICK GILMER B.S., QMHA
Case Manager/Care Coordinator
4212 SE DIVISION ST STE 100
PORTLAND, OR 97206
Multnomah County (503) 238-0705
BRIANNA LYNN GANZ
Counselor (Mental Health)
4212 SE DIVISION ST STE 100
PORTLAND, OR 97206
Multnomah County (503) 238-0705
MRS. ANDREA LORA LEHMAN BS
Case Manager/Care Coordinator
4212 SE DIVISION ST STE 100
PORTLAND, OR 97206
Multnomah County (503) 963-2575
MATTHEW DILBECK
Counselor (Mental Health)
4212 SE DIVISION ST STE 100
PORTLAND, OR 97206
Multnomah County (503) 238-0705
PAUL GALVIN
Counselor (Mental Health)
4212 SE DIVISION ST STE 100
PORTLAND, OR 97206
Multnomah County (503) 238-0705
BRANDON H LARSEN FNP, RN
Nurse Practitioner (Family)
4212 SE DIVISION ST STE 100
PORTLAND, OR 97206
Multnomah County (503) 238-7166
ALLISON D LEA LCSW
Social Worker (Clinical)
4212 SE DIVISION ST STE 100
PORTLAND, OR 97206
Multnomah County (503) 238-0705
JULIA FARNEY
Counselor (Mental Health)
4212 SE DIVISION ST STE 100
PORTLAND, OR 97206
Multnomah County (503) 238-0705

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tigist Fantaye's NPI number?

The NPI number for Tigist Fantaye is 1689209504. It was assigned to this individual provider in the NPPES registry on March 11, 2020.

Where is Tigist Fantaye located?

Tigist Fantaye practices at 4212 SE Division St Ste 100, Portland, OR 97206. The listed phone number is (503) 238-0705.

What is Tigist Fantaye's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Tigist Fantaye was last updated on March 11, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.