Individual
HAILU MOLLA BANKASHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15130 STONE LN N APT D201, SHORELINE, WA 98133-2923
(206) 637-9301
Mailing address
15130 STONE LN N APT D201, SHORELINE, WA 98133-2923
(206) 637-9301
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
4471
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4471
DSHS
WA
Enumeration date
11/18/2020
Last updated
11/18/2020
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