Individual
FIKRTE HILEMICALE GONFA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2435 GREENWAY DR NE, SALEM, OR 97301-4535
(503) 362-4510
(503) 361-2650
Mailing address
2435 GREENWAY DR NE, SALEM, OR 97301-4535
(503) 999-8534
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/14/2024
Last updated
09/14/2024
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