ASEFA TEREFE WUBNEH

PORTLAND, OR
NPI1447114319
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
(Licence: OR  DZ186034)
Enumeration Date2025-12-15
Last Update Date2025-12-15
Business Address
ASEFA TEREFE WUBNEH
16625 NE EVERETT CT
PORTLAND, OR 97230-6243
Phone number: 503-997-5469
Mailing Address
ASEFA TEREFE WUBNEH
16625 NE EVERETT CT
PORTLAND, OR 97230-6243
Phone number: 503-997-5469