Individual
ABEBE MEBRATU GOBEZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
10800 NE 109TH AVE, VANCOUVER, WA 98662-3371
(571) 665-9250
(360) 326-3665
Mailing address
10800 NE 109TH AVE, VANCOUVER, WA 98662-3371
(571) 665-9250
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60926470
WA
Other
Enumeration date
11/10/2022
Last updated
11/10/2022
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