HAWI FANTAYE

PORTLAND, OR
NPI1811725021
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163WG0000X Registered Nurse, General Practice
(Licence: OR  202108059RN)
Enumeration Date2024-07-22
Last Update Date2024-07-22
Business Address
HAWI FANTAYE RN, BSN
2327 SE 157TH AVE
PORTLAND, OR 97233-3707
Phone number: 813-407-6718
Mailing Address
HAWI FANTAYE RN, BSN
2327 SE 157TH AVE
PORTLAND, OR 97233-3707
Phone number: 813-407-6718
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