NPI 1093396558

Meseret Mehretab Asfeha

Practitioner Driver Portland, OR

Practice location

Address: 3327 SE 127th Pl, Portland, OR 97236-3218
Phone: (503) 502-5048

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 4368954 (OR)

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Registry record

NPI: 1093396558
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Apr 2021
Record last updated: 16 Apr 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.