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Individual

TEMESGEN TERFASSA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
8880 SE MANFIELD CT, CLACKAMAS, OR 97015-9565
(503) 890-5513
(503) 206-6361
Mailing address
8880 SE MANFIELD CT, CLACKAMAS, OR 97015-9565
(503) 890-5513
(503) 206-6361

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
OR

Other

Enumeration date
09/23/2025
Last updated
10/24/2025
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