Individual
GESSESE GEBRESLASSIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2100 SE BELMONT ST, PORTLAND, OR 97214-2815
(503) 872-9664
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
(503) 238-0769
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
12/09/2008
Last updated
12/09/2008
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