Individual
DR. BISRAT T TEWELDEMEDHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-1164
(503) 494-5502
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-1164
(503) 494-5502
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD216141
OR
208M00000X
Hospitalist Physician
Primary
MD216141
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2020
Last updated
09/27/2023
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