Organization
BETHLEHEM LLC
Active
Other names
Bethlehem AFH
Organization subpart
No
Provider details
NPI number
Authorized official
TIGIST SEWOYA RN (OWNER)
(425) 365-8290
Entity
Organization
Contact information
Practice address
3347 SE 115TH AVE, PORTLAND, OR 97266-1711
(425) 365-8290
(503) 265-8529
Mailing address
3347 SE 115TH AVE, PORTLAND, OR 97266-1711
(425) 365-8290
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
163WA2000X
Administrator Registered Nurse
Primary
—
—
305S00000X
Point of Service
—
—
Other
Enumeration date
12/06/2023
Last updated
12/06/2023
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