Individual
MS. LUWAN TESAFSILASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11150 SE CAUSEY CIR, HAPPY VALLEY, OR 97086-4709
(206) 530-9229
Mailing address
11150 SE CAUSEY CIR, HAPPY VALLEY, OR 97086-4709
(206) 530-9229
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
881489249
OR
Other
Enumeration date
04/28/2025
Last updated
04/28/2025
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