NPI 1538924998

Tirste Wosenu

Practitioner Adult Care Home Facility Portland, OR

Practice location

Address: 3056 NE 127th Ave, Portland, OR 97230-1621
Phone: (614) 684-8672
Fax: (503) 386-2242

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence DZ1494 (OR)

Other Custodial Care Facility providers in Oregon →

Registry record

NPI: 1538924998
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Feb 2024
Record last updated: 15 Feb 2024

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.