NPI 1124816228

Luwan Tesafsilase

Practitioner Driver Happy Valley, OR

Practice location

Address: 11150 SE Causey Cir, Happy Valley, OR 97086-4709
Phone: (206) 530-9229

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 881489249 (OR)

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Registry record

NPI: 1124816228
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Apr 2025
Record last updated: 28 Apr 2025

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.