Individual
DEFFO MEBRAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
135 NW LINNEMAN AVE, GRESHAM, OR 97030-6248
(971) 678-0443
(503) 328-9705
Mailing address
135 NW LINNEMAN AVE, GRESHAM, OR 97030-6248
(971) 678-0443
(503) 328-9705
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200740288
OR
Other
Enumeration date
01/23/2014
Last updated
01/23/2014
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