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

Tigist Y Fantaye

Individual provider Registered Nurse · NPI 1689209504

Tigist Y Fantaye is a Registered Nurse in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2020.

Licensed in
OR
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

4212 SE Division St Ste 100
Portland, OR 97206-1680
Phone: (503) 238-0705
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Registered Nurse Taxonomy 163W00000X · Licence 201906814RN (OR)

Record details

NPI number1689209504
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 11, 2020
Last updated in NPPESMarch 11, 2020
Certification dateMarch 11, 2020

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