Individual
TEKESTE KINFE SEIFU SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8118 SE DIVISION ST APT 311, PORTLAND, OR 97206-1080
(949) 861-0190
Mailing address
8118 SE DIVISION ST APT 311, PORTLAND, OR 97206-1080
(949) 861-0190
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
10005179
OR
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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