Dekebo Mebrat Yadeto, DC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

15-2418 Issued in OR

Practice address

10612 SE 59TH Ave
Milwaukie, OR 97222-2701

Phone

(503) 915-3427

Fax

(503) 342-6217

NPI assigned

Dec 1, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Soul to Soul Ihca

  • In Home Supportive Care Agency
  • Milwaukie, OR
  • NPI 1306507603
  NPD Authorized official

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

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641600000000",
    "number": "1417102732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10612 SE 59TH AVE",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972222701",
            "telephone_number": "503-915-3427",
            "fax_number": "503-342-6217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10612 SE 59TH AVE",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972222701",
            "telephone_number": "503-915-3427",
            "fax_number": "503-342-6217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YADETO",
        "first_name": "DEKEBO",
        "middle_name": "MEBRAT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-01",
        "last_updated": "2022-01-08",
        "certification_date": "2022-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3890",
            "primary": false
        },
        {
            "code": "2278E1000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Respiratory Therapist, Certified, Educational",
            "state": "OR",
            "license": "P-898021",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "OR",
            "license": "15-2418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER NPI",
            "identifier": "1811234230",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Collin Bryant Wright, CADC I
• Kevin Leigh Wright, MS
• Matthew Wright
• Mikayla Cinthia Wruk-Wilkie
• Nicole Leigh Wyke, SPEECH LANGUAGE PATH
• April Yahna, MOTR/L
• Takehiko Yamamoto
• Joseph E. Yankee, D.O.
• Greta Yeadon
• Melissa Yeary, LPC

• In Home Supportive Care Agency in Milwaukie, OR
• Providers in Milwaukie, OR by specialty
• In Home Supportive Care Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.