Individual
DR. IBRAHIM A FEYISSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
180 NE 192ND AVE STE 505, VANCOUVER, WA 98684-7525
(503) 305-6262
Mailing address
180 NE 192ND AVE STE 505, VANCOUVER, WA 98684-7525
(240) 839-8224
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2023038187
MO
208D00000X
General Practice Physician
Primary
70126165
WA
Other
Enumeration date
10/14/2024
Last updated
07/07/2026
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