Individual
SIEM TESFAY BERHANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16715 AURORA AVE N, SHORELINE, WA 98133-5310
(206) 546-9766
Mailing address
16715 AURORA AVE N, SHORELINE, WA 98133-5310
(206) 546-9766
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
—
—
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
02/21/2023
Last updated
04/04/2023
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