Individual
ASEFA TEREFE WUBNEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16625 NE EVERETT CT, PORTLAND, OR 97230-6243
(503) 997-5469
Mailing address
16625 NE EVERETT CT, PORTLAND, OR 97230-6243
(503) 997-5469
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
DZ186034
OR
Other
Enumeration date
12/15/2025
Last updated
12/15/2025
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