ASSEFA JIMA NPI 1205730843

NPI Information

  • NPI: 1205730843
  • Provider Name: ASSEFA JIMA
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Individual
  • Address: 6473 SE 31ST TER
    GRESHAM, OR
    ZIP 97080
  • Phone: (971) 407-8280

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NPI Details

Assefa Jima is an adult mental health clinic center in Gresham, OR. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. Assefa Jima NPI is 1205730843. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6473 SE 31ST TER
GRESHAM, OR
ZIP 97080-083
Phone: (971) 407-8280

The enumeration date for this NPI number is 10/6/2026 and was last updated on 10/6/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0850XClinic/CenterAdult Mental HealthOREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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