Individual
ABRAHAM G BEYENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10578 SE CHERRY BLOSSOM DR APT 108, PORTLAND, OR 97216-2898
(503) 839-9354
Mailing address
PO BOX 16266, PORTLAND, OR 97292-0266
(503) 839-9354
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
02/19/2021
Last updated
02/19/2021
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