Individual
AYAHUN FESEHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4666 NE 116TH AVE, PORTLAND, OR 97220-1421
(503) 860-3592
Mailing address
4666 NE 116TH AVE, PORTLAND, OR 97220-1421
(503) 860-3592
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/29/2022
Last updated
03/29/2022
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