ABDISSA EDAO

PORTLAND, OR
NPI1366173858
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OR  202108371LPN)
Enumeration Date2022-06-23
Last Update Date2022-06-23
Business Address
ABDISSA EDAO LPN
3640 SE 144TH AVE
PORTLAND, OR 97236-2729
Phone number: 503-679-2918
Mailing Address
ABDISSA EDAO LPN
3708 SE 144TH AVE
PORTLAND, OR 97236-2731
Phone number: 503-679-2918
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