Individual
MARTHA DEMESEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4585 SW 185TH AVE, ALOHA, OR 97078-1557
(571) 239-7115
Mailing address
4585 SW 185TH AVE, ALOHA, OR 97078-1557
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
10015659
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10015659
OR
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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