Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Edlawet G Fanta

Individual provider Registered Nurse · NPI 1700713682

Edlawet G Fanta is a Registered Nurse in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2026

Practice location Address checks out

10244 SE Raymond St
Portland, OR 97266-3636
Phone: (971) 320-9189
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 10029602 (OR)

Record details

NPI number1700713682
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 6, 2026
Last updated in NPPESMay 6, 2026
Certification dateMay 5, 2026

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