Gemechis Abdissa

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

10064004 Issued in OR

Practice address

11125 NE Sandy Blvd
Portland, OR 97220-2555

Phone

(971) 431-6436

NPI assigned

Aug 5, 2026

Last updated

Aug 5, 2026By the provider in NPPES

Sex

Male

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

Medicare enrollment (NPD)

Not enrolled

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

• FDS Alliance Residential LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Portland, OR
  • NPI 1407707805
  Authorized official Same address or phone
• Felicificare Domus Salutis LLC

  • Substance Abuse Rehabilitation Facility
  • Portland, OR
  • NPI 1942036561
  Authorized official Same address or phone

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

{
    "created_epoch": "1785888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1801710660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250",
            "city": "TROUTDALE",
            "state": "OR",
            "postal_code": "970600250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11125 NE SANDY BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972202555",
            "telephone_number": "971-431-6436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDISSA",
        "first_name": "GEMECHIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-08-05",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10064004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Salma Hassan Abdilahi
• Abdirahman Abdirahman
• Najma Abdirahman
• Halima Abdirazak
• Noor Abdirazak
• Abdul Munir Abdul Ghiyas
• Mohammad Malin Abdulaziz
• Maryan Abdulkadir
• Abdulkadir Sharif Abdullahi
• Adnan Abdullahi

• Psychiatric/Mental Health Nurse Practitioner in Portland, OR
• Providers in Portland, OR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.