Individual
MISRAK AYELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
950 SW 21ST AVE APT 1014, PORTLAND, OR 97205-1518
(503) 449-3925
Mailing address
950 SW 21ST AVE APT 1014, PORTLAND, OR 97205-1518
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201141084RN
OR
Other
Enumeration date
10/19/2012
Last updated
10/19/2012
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