Individual
TEBELNESH NIGIST WORKU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2330 NE SISKIYOU ST, PORTLAND, OR 97212-2471
(503) 528-0757
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201709779RN
OR
Other
Enumeration date
07/21/2020
Last updated
07/21/2020
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