NPI 1447114319

Asefa Terefe Wubneh

Practitioner Independent Duty Corpsman Portland, OR

Practice location

Address: 16625 NE Everett CT, Portland, OR 97230-6243
Phone: (503) 997-5469

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X Licence DZ186034 (OR)

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Registry record

NPI: 1447114319
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Dec 2025
Record last updated: 15 Dec 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.