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LEMLEM GEDAMU
NPI 1801753900
Custodial Care Facility - Adult Care Home in Portland, OR

Active since January 08, 2026
1002 SE 142ND AVE, PORTLAND, OR 97233(503) 335-6986 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lemlem Gedamu NPPES

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

LEMLEM GEDAMU (NPI 1801753900) is an individual adult care home provider in Portland, Oregon, licensed in Oregon (11573) and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1801753900
Entity TypeIndividualFemale
Primary Taxonomy311ZA0620X
Provider Legal NameLEMLEM GEDAMU
Location Address1002 SE 142ND AVEPortland, OR 97233-2267
Mailing Address1002 Se 142nd AvePortland, OR 97233-2267 · (503) 335-6986
Phone(503) 335-6986
Sole ProprietorYes
Enumeration DateJanuary 8, 2026
NPPES CertifiedJanuary 8, 2026
✔ NPI 1801753900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License✔ Licensed in OR · 11573
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
1002 SE 142ND AVE, Portland, OR 97233
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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 Lemlem Gedamu's NPI number?

The NPI number for Lemlem Gedamu is 1801753900. It was assigned to this individual provider in the NPPES registry on January 8, 2026.

Where is Lemlem Gedamu located?

Lemlem Gedamu practices at 1002 SE 142nd Ave, Portland, OR 97233. The listed phone number is (503) 335-6986.

What is Lemlem Gedamu's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Lemlem Gedamu was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.