Individual
TIHUT P TESHOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1420 5TH AVE STE 375, SEATTLE, WA 98101-4032
(206) 223-2611
Mailing address
1420 5TH AVE STE 375, SEATTLE, WA 98101-4032
(206) 223-2611
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA100003536
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8461147
—
WA
Enumeration date
01/22/2007
Last updated
05/04/2021
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