FITSUM N DEJENE

MILWAUKIE, OR
NPI1902300767
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2018-03-19
Last Update Date2018-03-19
Business Address
FITSUM N DEJENE
11458 SE MCEACHRON AVE
MILWAUKIE, OR 97222-1264
Phone number: 503-305-6296
Mailing Address
FITSUM N DEJENE
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170