Individual
BETHEL ESHETU TADESSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4585 SW 185TH AVE, ALOHA, OR 97078-1557
(503) 591-9280
Mailing address
4585 SW 185TH AVE, ALOHA, OR 97078-1557
(503) 591-9280
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
10006696
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10006696
OR
Other
Enumeration date
03/05/2024
Last updated
03/04/2025
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