Individual
MEKLIT WORKU NEDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3631 N TRENTON ST, PORTLAND, OR 97217-7452
(971) 990-9895
Mailing address
21912 NE SHAVER ST, FAIRVIEW, OR 97024-8780
(971) 990-9895
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201142950RN
OR
Other
Enumeration date
12/20/2023
Last updated
12/20/2023
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