Abreham Andualem Amera
Individual provider Active NPI Pastoral Counselor · Gresham, OR
NPI 1255292488 · NPPES record last updated Nov 18, 2025
Key facts
- NPI
- 1255292488
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pastoral Counselor 101YP1600X
- Practice address
- 3755 SW 5TH Dr
Gresham, OR 97030-6419 - Phone
- (971) 480-2619
- Fax
- (971) 480-2619
- NPI assigned
- Nov 18, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | OR | Yes |
Addresses
Primary practice location
3755 SW 5TH Dr
Gresham, OR 97030-6419
Mailing address
3755 SW 5TH Dr
Gresham, OR 97030-6419
Phone (971) 480-2619
Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.