Yodit A Habtemariam

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

11389 Issued in OR

Practice address

13015 NE Oregon St
Portland, OR 97230-2463

Phone

(503) 208-3067

Fax

(971) 544-7981

NPI assigned

Oct 8, 2026

Last updated

Oct 8, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1791417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791417600000",
    "number": "1205730587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13015 NE OREGON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972302463",
            "telephone_number": "503-208-3067",
            "fax_number": "971-544-7981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13015 NE OREGON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972302463",
            "telephone_number": "503-208-3067",
            "fax_number": "971-544-7981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABTEMARIAM",
        "first_name": "YODIT",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-08",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "OR",
            "license": "11389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Haberman
• Stephen J. Habib Jr.
• Behnum Habibi, M.D.
• Christine H Haboush, PMHNP
• Fana Habtemariam Ogbazgi
• Rinathia Hachmon, MD
• Heather Ann Hack, LDM, CPM
• Madelaine Hack, MD
• Alice Hacker
• Arielle Nicolle Hacker, MSW

• Adult Care Home Facility in Portland, OR
• Providers in Portland, OR by specialty
• Adult Care Home Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.