Individual
TADESSE LACHU SETEGNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1612 SE 174TH AVE, PORTLAND, OR 97233-4714
(310) 310-1538
Mailing address
1612 SE 174TH AVE, PORTLAND, OR 97233-4714
(310) 310-1538
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
10020111
OR
163W00000X
Registered Nurse
RN
OR
Other
Enumeration date
04/26/2025
Last updated
04/26/2025
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