Individual
TESHOME SHIKESSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP PSYCH/MENTAL HEAL
Contact information
Practice address
3955 156TH ST NE, MARYSVILLE, WA 98271-4831
(360) 651-6400
Mailing address
6C W INTERCITY AVE, EVERETT, WA 98204-2730
(206) 854-0329
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61323848
WA
Other
Enumeration date
01/22/2019
Last updated
08/15/2022
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