Individual
AMARE MELAK KASSAHUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
707 S GRADY WAY STE 600, RENTON, WA 98057
(206) 823-1004
(206) 309-3319
Mailing address
707 S GRADY WAY STE 600, RENTON, WA 98057-3227
(206) 823-1004
(206) 309-3319
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
AP60980899
WA
363LF0000X
Family Nurse Practitioner
Primary
AP60980899
WA
Other
Enumeration date
07/07/2019
Last updated
12/26/2019
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