Individual
BETHELL ASSEFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21907 64TH AVE W, MOUNTLAKE TERRACE, WA 98043-2200
(206) 769-7335
Mailing address
427 125TH ST SE, EVERETT, WA 98208-6413
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP60781549
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP60781549
WA
390200000X
Student in an Organized Health Care Education/Training Program
RN60673768
WA
Other
Enumeration date
09/09/2017
Last updated
04/30/2021
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